Healthcare Provider Details

I. General information

NPI: 1114751997
Provider Name (Legal Business Name): ALL ABOUT YOU HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17325 EUCLID AVE STE 111
CLEVELAND OH
44112-1247
US

IV. Provider business mailing address

17325 EUCLID AVE STE 111
CLEVELAND OH
44112-1247
US

V. Phone/Fax

Practice location:
  • Phone: 216-978-2038
  • Fax:
Mailing address:
  • Phone: 216-978-2038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LATANYA M PAYNE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 216-978-2038