Healthcare Provider Details

I. General information

NPI: 1851276190
Provider Name (Legal Business Name): JBS LOVING HEARTS HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4832 S SEDGEWICK RD
LYNDHURST OH
44124-1109
US

IV. Provider business mailing address

4832 S SEDGEWICK RD
LYNDHURST OH
44124-1109
US

V. Phone/Fax

Practice location:
  • Phone: 216-505-3608
  • Fax:
Mailing address:
  • Phone: 216-505-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHALITA BEATRICE BANKS
Title or Position: OWNER/DOO
Credential:
Phone: 216-505-3608