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General NPI Number Information
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NPI Number | 1619836996
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Entity Type | Organization
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Legal Business Name | JAYSTARR HOMES 2INC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 13503 SAYBROOK AVE
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44105-7019
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Country | US
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Telephone | 216-635-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 13503 SAYBROOK AVE
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44105-7019
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Country | US
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Telephone | 216-417-8425
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Fax | 216-417-8505
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. STARLICIA DIANA LEVENSHOWN
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Credential |
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Telephone | 216-635-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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