Individual provider · Type 1 NPI

Douglas C. Deroberts, LICDC II

Home Health Agency · Cleveland, OH

NPI number 1457736134 Active

Practice location

5209 Detroit Ave
Cleveland, OH 44102-2224

Call (216) 325-9123 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed
Nurse's Aide 376K00000XNone listed
Home Health Aide 374U00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X060103 (OH)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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About NPI 1457736134

Douglas C. Deroberts, LICDC II's National Provider Identifier is 1457736134, issued on Jul 23, 2015. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 3, 2026.