Individual provider · NPI-1
Archelle Bloodworth
Adult Companion · Cleveland, OH
NPI number1487390472
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1487390472
- Entity type
- Individual (NPI-1)
- Name
- Archelle Bloodworth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2022
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 175T00000X | Peer Specialist | – | OH | |
| 374U00000X | Home Health Aide | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
3038 E 130th StCleveland, OH 44120-3006
Phone 216-413-2996
Mailing address
3038 E 130th StCleveland, OH 44120-3006
Phone 216-413-2996
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