Healthcare Provider Details

I. General information

NPI: 1508335787
Provider Name (Legal Business Name): DAWN & LYN ELDERLY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2018
Last Update Date: 11/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 EUCLID AVE APT 405
CLEVELAND OH
44114-2257
US

IV. Provider business mailing address

248 EUCLID AVE APT 405
CLEVELAND OH
44114-2257
US

V. Phone/Fax

Practice location:
  • Phone: 440-589-9910
  • Fax:
Mailing address:
  • Phone: 440-589-9910
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: TALENA JONES
Title or Position: OWNER
Credential:
Phone: 440-589-9910