CENTERLIGHT HOME CARE LLC (NPI# 1609476639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609476639 |
| Entity Type | Organization |
| Organization Name | CENTERLIGHT HOME CARE LLC |
| Practice Address |
14105 Lorain Ave Cleveland OH 44111-3236 |
| Practice Telephone | 4403189159 |
| Practice Fax Number | 2167271845 |
| Mailing Telephone | 4403189159 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MR. KHADANANDA ADHIKARI (PRESIDENT) |
| Authorized Official Telephone | 4403189159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2128 Front St, Cuyahoga Falls, OH 442213220 | 4403189159 | 2167271845 |
| Street Address |
14105 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275125 | Amy Joy Knott | Clinic/Center | 761 N Freedom St, Ravenna, OH 44266-2470 | 2020-11-02 |
| 1063010676 | Melinda Annette Green | Clinic/Center | 22 Meadowbrook Ave, Boardman, OH 44512-2605 | 2020-10-15 |
| 1316404965 | Joyful Living Care | Clinic/Center | 4209 Secor Rd Apt 339, Toledo, OH 43623-4222 | 2019-03-01 |
| 1952881237 | Hh Direct Health Services LLC. | Clinic/Center | 14920 Grandview Ter, East Cleveland, OH 44112-2940 | 2018-08-16 |
| 1104367218 | Derek Engler | Clinic/Center | 1012 Mavor St, Springfield, OH 45505-2848 | 2017-03-09 |
| 1295166031 | Abc Therapy Ltd | Clinic/Center | 30 Rothrock Loop, Copley, OH 44321-1331 | 2013-12-04 |
| 1275813602 | Liberty Care Agency, LLC | Clinic/Center | 5210 Aster Park Dr Apt 1712, Hamilton, OH 45011-6300 | 2011-08-17 |
| 1215101811 | Beth Rosner, Ph.d. LLC | Clinic/Center | 7644 Slate Ridge Blvd, Reynoldsburg, OH 43068-8159 | 2008-04-15 |
| 1194852749 | Brown County Board of Mental Retardation and Developmental Disabilitie | Clinic/Center | 325 W State St, Building A, Suite 2, Georgetown, OH 45121-1229 | 2007-02-28 |
| 1265578348 | Sara's Garden-the Sara Joy Rychener-burkholder Hyperbaric Center | Clinic/Center | 620 W Leggett St, Wauseon, OH 43567-1348 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
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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.