LOVEL HENDERSON JR


Address: 6600 Lexington Ave, Cleveland, OH 44103
Phone: 2163558331

LOVEL HENDERSON JR (NPI# 1700357829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700357829
Entity Type Individual
Full Name LOVEL HENDERSON JR
Credential JR.
Practice Address 6600 Lexington Ave
Cleveland
OH 44103
Mailing Address 1769 East 63rd Street
Cleveland
OH 44103
Practice Telephone 2163558331
Mailing Telephone 2163558331
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 6600 LEXINGTON AVE
City CLEVELAND
State OH
Zip Code 44103

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1508340472 Melody J Williams Adult Companion 7820 Euclid Ave, Cleveland, OH 44103 2018-09-18
1083108906 University Hospitals Cleveland Medical Center Pharmacy 5805 Euclid Ave, Cleveland, OH 44103 2018-06-15
1336637453 Heather Tully Registered Nurse 6700 Euclid Ave, Cleveland, OH 44103 2018-04-24
1033611355 Circle Health Services Clinic/Center 4400 Euclid Avenue, Cleveland, OH 44103 2018-03-02
1922524032 Carolyn Nicholas Counselor 1834 E 55th Street, Cleveland, OH 44103 2017-08-21
1619493764 Horizon Educational Services Inc Local Education Agency (LEA) 6000 South Marginal, Cleveland, OH 44103 2017-08-21
1548783426 Albert Pride Jr. Counselor 1804 East 55th Street, Cleveland, OH 44103 2017-07-21
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1609151372 Council for Economic Opportunities In Greater Cleveland Clinic/Center 1801 Superior Ave E Ste 400, Cleveland, OH 44114 2011-10-13
1467598391 Stella Maris, Inc Clinic/Center 1302 Winslow Avenue, Cleveland, OH 44113-2333 2007-01-29
1659328771 Catholic Charities Corporation Clinic/Center 3135 Euclid Ave, Suite 202, Cleveland, OH 44115-2531 2006-05-27
1174572168 Stella Maris, Inc. Clinic/Center 1292 Winslow Ave, Cleveland, OH 44113-2334 2006-05-08
1619934676 Bureau of Drug Abuse,cleveland Treatment Center,inc. Clinic/Center 1127 Carnegie Ave, Cleveland, OH 44115-2805 2006-04-26
1821581786 Sophisticated One Counseling Clinic/Center 3301 Archmere Ave, Cleveland, OH 44109-5400 2018-06-14
1235631201 Circle Health Services Clinic/Center 3929 Rocky River Dr, Cleveland, OH 44111-4153 2018-03-06
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Competitor

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City CLEVELAND
Zip Code 44103

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Dataset Information

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.

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