Provider Demographics
NPI:1881570190
Name:BERRIOS, JAYLYN LOVE
Entity type:Individual
Prefix:
First Name:JAYLYN
Middle Name:LOVE
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 DADE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2627
Mailing Address - Country:US
Mailing Address - Phone:216-772-5270
Mailing Address - Fax:
Practice Address - Street 1:619 DADE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2627
Practice Address - Country:US
Practice Address - Phone:216-772-5270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide