Healthcare Provider Details

I. General information

NPI: 1861128647
Provider Name (Legal Business Name): BERNICE LENNOX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 LIBERTY RD
SOLON OH
44139-5010
US

IV. Provider business mailing address

7160 LIBERTY RD
SOLON OH
44139-5010
US

V. Phone/Fax

Practice location:
  • Phone: 216-376-5011
  • Fax:
Mailing address:
  • Phone: 216-376-5011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: