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

Mr. Douglas C Deroberts, LICDCII

Individual provider Home Health Agency · NPI 1457736134

Mr. Douglas C Deroberts, LICDCII is a Home Health Agency in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015
Specialties on file
4

Practice location Address checks out

5209 Detroit Ave
Cleveland, OH 44102-2224
Phone: (216) 325-9123
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X (OH)
Nurse's Aide Taxonomy 376K00000X (OH)
Home Health Aide Taxonomy 374U00000X (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 060103 (OH)

Record details

NPI number1457736134
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDCII
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

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