Healthcare Provider Details

I. General information

NPI: 1497669386
Provider Name (Legal Business Name): EVOLVING NURSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21877 EUCLID AVE STE 100
EUCLID OH
44117-1515
US

IV. Provider business mailing address

21877 EUCLID AVE
EUCLID OH
44117-1515
US

V. Phone/Fax

Practice location:
  • Phone: 216-865-1148
  • Fax: 440-424-5285
Mailing address:
  • Phone: 216-865-1148
  • Fax: 440-424-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUSTINE CLEVELAND
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-865-1148