Healthcare Provider Details

I. General information

NPI: 1861101057
Provider Name (Legal Business Name): SHERI Y LOVETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 BRUNSWICK RD
CLEVELAND HEIGHTS OH
44112-2342
US

IV. Provider business mailing address

953 BRUNSWICK RD
CLEVELAND HEIGHTS OH
44112-2342
US

V. Phone/Fax

Practice location:
  • Phone: 216-797-9849
  • Fax:
Mailing address:
  • Phone: 216-797-9849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: