1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Custodial Care Facility
  6. NPI Profile

NA
NPI 1750712956
Custodial Care Facility - Adult Care Home in Cleveland, OH

Active since December 12, 2013
7629 MARYLAND AVE, CLEVELAND, OH 44105(216) 213-8084 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Na NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NA (NPI 1750712956) is a healthcare organization registered as an adult care home in Cleveland, Ohio and active in the NPI registry since December 2013. The organization lists Tashia Fowlkes, Stna, as its authorized official.

NPPES Registry Identity

NPI1750712956
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNA
Location Address7629 MARYLAND AVECleveland, OH 44105-5927
Mailing Address7629 Maryland AveCleveland, OH 44105-5927 · (216) 213-8084
Phone(216) 213-8084
Organization SubpartNo
Authorized OfficialTashia FowlkesStna · (216) 213-8084
Enumeration DateDecember 12, 2013
✔ NPI 1750712956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in OH · 400360060504
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 400360060504 (OH)
7629 MARYLAND AVE, Cleveland, OH 44105
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Na's NPI number?

The NPI number for Na is 1750712956. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Na located?

Na is located at 7629 Maryland Ave, Cleveland, OH 44105. The listed phone number is (216) 213-8084.

What is Na's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Na was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.