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LIGHT OF HEARTS VILLA INC. NPI 1053552737


NPI Information

NPI: 1053552737
Provider Name: LIGHT OF HEARTS VILLA, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D1013763

Address:
283 UNION ST
BEDFORD, OH
ZIP 44146
Phone: (440) 232-1991
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LIGHT OF HEARTS VILLA, INC. is an assisted living facility in Bedford, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIGHT OF HEARTS VILLA, INC. NPI is 1053552737. The provider is registered as an organization entity type.

The provider's business location address is:

283 UNION ST
BEDFORD, OH
ZIP 44146-578
Phone: (440) 232-1991
Fax: (440) 735-3429

The provider's authorized official is Michael Deluca .
The authorized official title is Interim Director and has the following contact phone number (440) 232-1991.

The CLIA number assigned to this NPI record is 36D1013763 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2009 and was last updated on 3/10/2009.


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
1310400000XAssisted Living Facility1917ROHIOYes

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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