PETER JAMES DEVELOPMENT & INDEPENDENT LIVING, INC. (NPI# 1184255549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184255549 |
| Entity Type | Organization |
| Organization Name | PETER JAMES DEVELOPMENT & INDEPENDENT LIVING, INC. |
| Practice Address |
17325 Euclid Ave Ste 4103 Cleveland OH 44112-1262 |
| Mailing Address |
6350 Sparrowhawk Way Oakwood Village OH 44146-3166 |
| Practice Telephone | 2165261600 |
| Mailing Telephone | 2165261600 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. PETER J PRUITT III (OWNER) |
| Authorized Official Telephone | 2165261600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
17325 EUCLID AVE STE 4103 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44112-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954358 | Tiffany Nurse | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-08-28 |
| 1033722012 | Alexander Lewis IIi | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-08-28 |
| 1689292518 | Ashley Oliver | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-07-07 |
| 1558988303 | Alric Williams | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-06-28 |
| 1750906376 | Shani Mckinley | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-06-09 |
| 1427672500 | Dwayne Le'mar Hurt | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-06-03 |
| 1699399774 | Samuel E Kisner II | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-06-03 |
| 1326662404 | Brittany Roberts | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-06-03 |
| 1316568934 | Darius Twyman | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-05-05 |
| 1104454610 | Peter J Pruitt IIi | Case Management | 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
| 1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
| 1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
| 1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
| 1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
| Find all providers in zip 44112 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003448317 | Perfect Health Care | Case Management | 7100 Euclid Ave Ste 220, Cleveland, OH 44103-4038 | 2020-02-05 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1427693597 | Tamika Robinson | Case Management | 3217 E 116th St, Cleveland, OH 44120-3873 | 2019-11-13 |
| 1548805518 | Eddie Lee Burge IIi | Case Management | 8222 Jeffries Ave, Cleveland, OH 44105-6562 | 2019-11-13 |
| 1346809274 | Transitions Plus | Case Management | 7715 Decker Ave, Cleveland, OH 44103-2821 | 2019-06-13 |
| 1740745215 | Life Renewal | Case Management | 11116 Tuscora Ave, Cleveland, OH 44108-3054 | 2019-02-08 |
| 1306300173 | Della J Thompson | Case Management | 4745 E 174th St, Cleveland, OH 44128-3923 | 2019-01-25 |
| 1063990752 | Fatimah Zarifah Shabazz | Case Management | 17325 Euclid Ave Ste 1105, Cleveland, OH 44112-1247 | 2018-08-03 |
| 1255877247 | Nueva Luz Urban Resource Center | Case Management | 2226 W 89th St, Cleveland, OH 44102-3863 | 2017-01-13 |
| 1396196077 | Hispanic Umadoap | Case Management | 2202 Prame Ave., Cleveland, OH 44109-1626 | 2016-06-24 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.