Healthcare Provider Details

I. General information

NPI: 1740167386
Provider Name (Legal Business Name): COSIVA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 GRANGER RD
GARFIELD HEIGHTS OH
44125-3102
US

IV. Provider business mailing address

10000 GRANGER RD
GARFIELD HEIGHTS OH
44125-3102
US

V. Phone/Fax

Practice location:
  • Phone: 216-202-3381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TIJUAN DOW
Title or Position: CONSULTANT
Credential:
Phone: 216-849-8296