Healthcare Provider Details

I. General information

NPI: 1992659080
Provider Name (Legal Business Name): BARBARA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E 99TH ST
CLEVELAND OH
44108-1216
US

IV. Provider business mailing address

700 E 99TH ST
CLEVELAND OH
44108-1216
US

V. Phone/Fax

Practice location:
  • Phone: 440-669-5532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberSZ641346
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: