Active NPI
Cleveland Home Health Agency
- Durable Medical Equipment & Medical Supplies
- Shelby, NC
National Provider Identifier
1972594711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- HC0042
- Legal business name
- CLEVELAND HOME HEALTH AGENCY
- Practice address
- 105 T R Harris Dr
Shelby, NC 28150-3486 - Phone
- (704) 487-5225
- Fax
- (704) 484-4590
- NPI assigned
- Nov 1, 2005
- 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
- Pete Moore, CEO
- Title
- Chief Executive Officer
- Phone
- (704) 487-5225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | HC0042 | NC | Primary |
Addresses
Primary practice location
105 T R Harris Dr
Shelby, NC 28150-3486
Mailing address
105 T R Harris Dr
Shelby, NC 28150-3486
Phone (704) 487-5225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700418 | Medicaid | NC | |
| 0499G | Other | NC | HME |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Shelby, NC
- NPI 1144222365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972594711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 T R HARRIS DR",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503486",
"telephone_number": "704-487-5225",
"fax_number": "704-484-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 T R HARRIS DR",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503486",
"telephone_number": "704-487-5225",
"fax_number": "704-484-4590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND HOME HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "PETE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "704-487-5225",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "HC0042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700418",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HME",
"identifier": "0499G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Cleveland Health Ventures LLC
- Cleveland Health Ventures LLC
- Cleveland Health Ventures LLC
- Cleveland Health Ventures, LLC
- Cleveland Health Ventures, LLC
- Cleveland Intervention and Support Services, Inc
- Cleveland Medical Associates, PA Dba Piedmont Family Care
- Cleveland Neurologic Clinic, PA
- Cleveland of County
- Cleveland Physical Therapy Assoc II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.