Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Twelve Sixtythree LLC

Organization Contractor · NPI 1568349272

Twelve Sixtythree LLC is a Contractor in Cleveland, Ohio. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1003 Newberry Ave
Cleveland, OH 44121-3447
Phone: (440) 295-4319
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Contractor Taxonomy 171W00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1568349272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charmaine Ross — Owner · (216) 577-6562
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address1003 Newberry Ave, Cleveland, OH 44121-3447

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