Healthcare Provider Details

I. General information

NPI: 1760373633
Provider Name (Legal Business Name): ESPY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 GABLE LN
SOUTH EUCLID OH
44121-3667
US

IV. Provider business mailing address

1365 GABLE LN
SOUTH EUCLID OH
44121-3667
US

V. Phone/Fax

Practice location:
  • Phone: 216-780-4486
  • Fax:
Mailing address:
  • Phone: 216-780-4486
  • 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 Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ESSENCE DAVIS-LEWIS
Title or Position: OWNER
Credential:
Phone: 216-780-4486