Provider Demographics
NPI:1508627134
Name:JOYFUL HEARTS & HANDS OF CLEVELAND LLC
Entity Type:Organization
Organization Name:JOYFUL HEARTS & HANDS OF CLEVELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH CARE AGENCY PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:XANDRIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-870-4075
Mailing Address - Street 1:3541 E 154TH ST STE DOWN
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4913
Mailing Address - Country:US
Mailing Address - Phone:216-870-4075
Mailing Address - Fax:
Practice Address - Street 1:3541 E 154TH ST UNIT DOWN
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4913
Practice Address - Country:US
Practice Address - Phone:216-870-4075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care