Healthcare Provider Details

I. General information

NPI: 1245120047
Provider Name (Legal Business Name): OHIO ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26250 EUCLID AVE STE 930
EUCLID OH
44132-3305
US

IV. Provider business mailing address

26250 EUCLID AVE STE 930
EUCLID OH
44132-3305
US

V. Phone/Fax

Practice location:
  • Phone: 330-475-4777
  • Fax:
Mailing address:
  • Phone: 330-475-4777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICA J BOOKER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 330-475-4777