CSL CHARDON LLC NPI 1639672207

NPI Information

  • NPI: 1639672207
  • Provider Name: CSL CHARDON, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: RESIDENCE OF CHARDON
  • Address: 501 CHARDON WINDSOR RD
    CHARDON, OH
    ZIP 44024
  • Phone: (440) 286-2277

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NPI Details

CSL CHARDON, LLC is an assisted living facility in Chardon, 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. CSL CHARDON, LLC NPI is 1639672207. The provider is registered as an organization entity type.
The provider Is Doing Business As Residence Of Chardon.

The provider's business location address is:

501 CHARDON WINDSOR RD
CHARDON, OH
ZIP 44024-944
Phone: (440) 286-2277

The provider's authorized official is Gloria Holland .
The authorized official title is Vp Of Finance and has the following contact phone number (972) 770-5600.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 6/16/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10074878MEDICAIDOHIO

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: 3/30/2025

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