Provider Demographics
NPI:1487134169
Name:COSIVA HOME HEALTH
Entity type:Organization
Organization Name:COSIVA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:LAVETTE
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-233-1820
Mailing Address - Street 1:23334 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1525
Mailing Address - Country:US
Mailing Address - Phone:216-233-1820
Mailing Address - Fax:216-472-8162
Practice Address - Street 1:23334 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1525
Practice Address - Country:US
Practice Address - Phone:216-233-1820
Practice Address - Fax:216-472-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH318171163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty