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GRACEFUL LIVING LLC NPI 1255665303


NPI Information

NPI: 1255665303
Provider Name: GRACEFUL LIVING LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
24500 CENTER RIDGE RD
# 135
WESTLAKE, OH
ZIP 44145
Phone: (440) 899-2617
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GRACEFUL LIVING LLC is a non emergency medical transport van in Westlake, OH. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. GRACEFUL LIVING LLC NPI is 1255665303. The provider is registered as an organization entity type.

The provider's business location address is:

24500 CENTER RIDGE RD
# 135
WESTLAKE, OH
ZIP 44145-601
Phone: (440) 899-2617
Fax: (440) 899-2918

The provider's authorized official is Weslava Pikous .
The authorized official title is President and has the following contact phone number (440) 497-7597.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 2/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)18-807-5OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12997968MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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