Healthcare Provider Details

I. General information

NPI: 1164346516
Provider Name (Legal Business Name): PAULA MICHELLE STUBBS-PITTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2989 E 130TH ST
CLEVELAND OH
44120-3075
US

IV. Provider business mailing address

2989 E 130TH ST
CLEVELAND OH
44120-3075
US

V. Phone/Fax

Practice location:
  • Phone: 216-376-7599
  • Fax:
Mailing address:
  • Phone: 216-376-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: