Healthcare Provider Details

I. General information

NPI: 1316850530
Provider Name (Legal Business Name): CASEREADY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BENTWOOD DR
CHARDON OH
44024-1398
US

IV. Provider business mailing address

111 BENTWOOD DR
CHARDON OH
44024-1398
US

V. Phone/Fax

Practice location:
  • Phone: 440-279-3460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JEFFREY JACKSON
Title or Position: OWNER
Credential: CRNA
Phone: 440-279-3460