Healthcare Provider Details

I. General information

NPI: 1386512614
Provider Name (Legal Business Name): CHALRON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 E 105TH ST
CLEVELAND OH
44108-2207
US

IV. Provider business mailing address

776 E 105TH ST
CLEVELAND OH
44108-2207
US

V. Phone/Fax

Practice location:
  • Phone: 216-701-6599
  • Fax: 216-383-9054
Mailing address:
  • Phone: 216-701-6599
  • Fax: 216-383-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State
# 4
Primary TaxonomyY
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

VIII. Authorized Official

Name: MISS CHALFONTE MONIQUE SMITH
Title or Position: DIRECTOR
Credential:
Phone: 216-701-6599