Healthcare Provider Details

I. General information

NPI: 1104544402
Provider Name (Legal Business Name): MASSEYS LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 BROOKPARK RD
CLEVELAND OH
44109-5800
US

IV. Provider business mailing address

19612 CHEROKEE AVE
CLEVELAND OH
44119-2822
US

V. Phone/Fax

Practice location:
  • Phone: 216-905-6896
  • Fax:
Mailing address:
  • Phone: 216-905-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MARIEL MASSEY
Title or Position: OWNER
Credential:
Phone: 216-905-6896