Organization Active NPI

Our Community Adult Care

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1821328345
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OUR COMMUNITY ADULT CARE
Practice address
9606 Miles Ave
Cleveland, OH 44105-6122
Phone
(216) 820-8860
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Chaun'Drea Nicole Clark, STNA
Title
Owner/Proprietor
Phone
(216) 820-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

9606 Miles Ave
Cleveland, OH 44105-6122

Mailing address

9606 Miles Ave
Cleveland, OH 44105-6122
Phone (216) 820-8860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1821328345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 MILES AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056122",
            "telephone_number": "216-820-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9606 MILES AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441056122",
            "telephone_number": "216-820-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR COMMUNITY ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHAUN'DREA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROPRIETOR",
        "authorized_official_telephone_number": "216-820-8860",
        "authorized_official_credential": "STNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "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 Jan 6, 2010; 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.