Organization Active NPI

Just a Legacy Homecare

  • In Home Supportive Care Agency
  • Cleveland, OH
National Provider Identifier
1972397321
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 8, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.