Active NPI
Bluestone Healthcare Agency LLC
- Developmentally Disabled Services Day Training Agency
- Cleveland, OH
National Provider Identifier
1790640928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- BLUESTONE HEALTHCARE AGENCY LLC
- Practice address
- 2375 E 40TH St Apt Q
Cleveland, OH 44104-1176 - Phone
- (216) 374-0186
- NPI assigned
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiywan Lorrana Marie Haynes
- Title
- Owner
- Phone
- (216) 374-0186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
2375 E 40TH St Apt Q
Cleveland, OH 44104-1176
Mailing address
2375 E 40TH St Apt Q
Cleveland, OH 44104-1176
Phone (216) 374-0186
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Cleveland, OH
- NPI 1548965742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1790640928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 E 40TH ST APT Q",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441041176",
"telephone_number": "216-374-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 E 40TH ST APT Q",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441041176",
"telephone_number": "216-374-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUESTONE HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-19",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "KIYWAN",
"authorized_official_middle_name": "LORRANA MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-374-0186"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.