Healthcare Provider Details

I. General information

NPI: 1467379602
Provider Name (Legal Business Name): CECILIA LOUISE LAUFENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5535 ANACONDA AVE
MENTOR OH
44060-2001
US

IV. Provider business mailing address

5535 ANACONDA AVE
MENTOR OH
44060-2001
US

V. Phone/Fax

Practice location:
  • Phone: 805-573-0322
  • Fax:
Mailing address:
  • Phone: 805-573-0322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: