Organization · NPI-2

Profound Reflections

Home Health · Cleveland, OH

NPI number1134976996

StatusActive

Last updated in NPPESMay 1, 2024

Details

NPI: 1134976996
Entity type: Organization (NPI-2)
Legal business name: Profound Reflections
Organization subpart: No
Enumeration date: May 1, 2024
Certification date: Apr 27, 2024
Last updated: May 1, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
251C00000X	Day Training, Developmentally Disabled Services	–	–
251G00000X	Hospice Care, Community Based	–	–
251S00000X	Community/Behavioral Health	–	–
251X00000X	Supports Brokerage	–	–
252Y00000X	Early Intervention Provider Agency	–	–
253Z00000X	In Home Supportive Care	–	–
261QD1600X	Clinic/Center, Developmental Disabilities	–	–
282J00000X	Religious Nonmedical Health Care Institution	–	–
302R00000X	Health Maintenance Organization	–	–
305R00000X	Preferred Provider Organization	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–

Practice location

1734 Wickford Rd
Cleveland, OH 44112-1208

Phone 216-374-1546

Mailing address

1734 Wickford Rd
Cleveland, OH 44112-1208

Phone 216-374-1546

Authorized official

Leah Wallace
Director
2163741546

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