Healthcare Provider Details

I. General information

NPI: 1780488148
Provider Name (Legal Business Name): VALERIE SPRUCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15502 ALONZO AVE
CLEVELAND OH
44128-2921
US

IV. Provider business mailing address

15502 ALONZO AVE
CLEVELAND OH
44128-2921
US

V. Phone/Fax

Practice location:
  • Phone: 216-632-8787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberRL003355
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberRL003355
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: