Healthcare Provider Details

I. General information

NPI: 1720967839
Provider Name (Legal Business Name): BLUEPRINT CARE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29339 EUCLID AVE STE 101
WICKLIFFE OH
44092-1985
US

IV. Provider business mailing address

29339 EUCLID AVE STE 101
WICKLIFFE OH
44092-1985
US

V. Phone/Fax

Practice location:
  • Phone: 216-474-1800
  • Fax: 216-474-1900
Mailing address:
  • Phone: 216-474-1800
  • Fax: 216-474-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KAREEMA MORGAN
Title or Position: MANAGING MEMBER
Credential: APRN
Phone: 216-474-1800