Healthcare Provider Details

I. General information

NPI: 1619836996
Provider Name (Legal Business Name): JAYSTARR HOMES 2INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13503 SAYBROOK AVE
GARFIELD HEIGHTS OH
44105-7019
US

IV. Provider business mailing address

13503 SAYBROOK AVE
GARFIELD HEIGHTS OH
44105-7019
US

V. Phone/Fax

Practice location:
  • Phone: 216-635-8811
  • Fax:
Mailing address:
  • Phone: 216-417-8425
  • Fax: 216-417-8505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. STARLICIA DIANA LEVENSHOWN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 216-635-8811