Provider Demographics
NPI:1275405169
Name:MAKING A DIFFERENCE HEALTHCARE LLC
Entity type:Organization
Organization Name:MAKING A DIFFERENCE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAREESA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-466-2448
Mailing Address - Street 1:545 E 102ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-1370
Mailing Address - Country:US
Mailing Address - Phone:216-466-2448
Mailing Address - Fax:
Practice Address - Street 1:16200 HELMSDALE RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1711
Practice Address - Country:US
Practice Address - Phone:216-466-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAKING A DIFFERENCE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty