=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275405169
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAKING A DIFFERENCE HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2025
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16200 HELMSDALE RD
-----------------------------------------------------
City | EAST CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44112-1711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-466-2448
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 545 E 102ND ST
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44108-1370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-466-2448
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | LAREESA KINNEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 216-466-2448
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------