THE CHESTERFIELD HOME (NPI# 1932468105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932468105 |
Entity Type | Organization |
Organization Name | THE CHESTERFIELD HOME |
Practice Address |
12411 Chesterfield Avenue Cleveland OH 44108 |
Practice Telephone | 2162550533 |
Practice Fax Number | 2168515898 |
Mailing Telephone | 2162550533 |
Mailing Fax Number | 2168515898 |
Enumeration Date | 2012-05-09 |
Last Update Date | 2012-05-09 |
Authorized Official Name | MRS. SHARON A. ELAM (OWNER/MANAGER) |
Authorized Official Telephone | 2162550533 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities | ||
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
12411 CHESTERFIELD AVENUE |
City | CLEVELAND |
State | OH |
Zip Code | 44108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
Find all providers in zip 44108 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700238391 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4383 Ammon Rd, Cleveland, OH 44143-2803 | 2016-07-07 |
1780863522 | Libby Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4035 Woodleaf Barber Rd, Cleveland, NC 27013-9140 | 2007-10-29 |
1467584482 | Amber L Faulkner | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4016 Muriel Ave, Cleveland, OH 44109-3138 | 2007-03-12 |
1427695568 | Rem Ohio Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4520 Monticello Blvd, Cleveland, OH 44143-2840 | 2019-12-09 |
1114080959 | L'arche Cleveland, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11811 Shaker Blvd, Suite 320, Cleveland, OH 44120-1931 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053801 | Vip of Ohio, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2446 Audubon Rd, Akron, OH 44320-1010 | 2020-11-03 |
1871190280 | Gateways To Better Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 | 2020-10-08 |
1235746264 | Cheryl L Nelson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 | 2020-09-24 |
1164039244 | Amberdawn E Kenworthy-byers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3746 Hickory Ln, Greenville, OH 45331-3014 | 2020-09-23 |
1467067124 | Forever Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 | 2020-09-10 |
1174177737 | Alive Now Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 Amsel Ave Ne, Canton, OH 44721-2606 | 2019-07-31 |
1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
1811447519 | Royal Queens Care Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6625 Retton Rd, Reynoldsburg, OH 43068-2849 | 2016-10-06 |
1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
1619324290 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9349 W Ridgewood Dr, Parma Heights, OH 44130-4126 | 2016-05-24 |
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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.