Healthcare Provider Details

I. General information

NPI: 1013853878
Provider Name (Legal Business Name): CATHERINE'S VILLAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 SAGAMORE DR
EUCLID OH
44117-2333
US

IV. Provider business mailing address

1790 SAGAMORE DR
EUCLID OH
44117-2333
US

V. Phone/Fax

Practice location:
  • Phone: 216-389-5702
  • Fax:
Mailing address:
  • Phone: 216-389-5702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARMAINES STEARNES
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 216-389-5702