Ebony Chanel Ervin

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1829445 Issued in OH

Practice address

14201 Kennerdown Ave
Maple Heights, OH 44137-3625

Phone

(216) 338-4181

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionate Carriers LLC

  • Developmentally Disabled Services Day Training Agency
  • Garfield Heights, OH
  • NPI 1437002359
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1730781527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 KENNERDOWN AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373625",
            "telephone_number": "216-338-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 KENNERDOWN AVE",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373625",
            "telephone_number": "216-338-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "EBONY",
        "middle_name": "CHANEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "1829445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Emerson Sr.
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• Cherika Jean Eppinger
• Monica Eppinger
• Essence of Home LLC
• Eternal Transportation Enterprises, LLC
• Diamond Rosemary-Lashae Evans
• Emily Evans
• Angela Fenice Everett, RN

• In Home Supportive Care Agency in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.