Active NPI
Just a Legacy Homecare
- In Home Supportive Care Agency
- Cleveland, OH
National Provider Identifier
1972397321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JUST A LEGACY HOMECARE
- Practice address
- 4389 Northfield Rd Apt 203C
Cleveland, OH 44128-4651 - Phone
- (216) 713-4115
- NPI assigned
- Apr 8, 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
- Latrevia Mock
- Title
- Ceo
- Phone
- (216) 713-4115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4389 Northfield Rd Apt 203C
Cleveland, OH 44128-4651
Mailing address
4389 Northfield Rd Apt 203C
Cleveland, OH 44128-4651
Phone (216) 713-4115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1972397321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4389 NORTHFIELD RD APT 203C",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284651",
"telephone_number": "216-713-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4389 NORTHFIELD RD APT 203C",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441284651",
"telephone_number": "216-713-4115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST A LEGACY HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "MOCK",
"authorized_official_first_name": "LATREVIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-713-4115"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"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 Apr 8, 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.