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GATES MILLS ASSISTED LIVING LLC NPI 1649764945


NPI Information

NPI: 1649764945
Provider Name: GATES MILLS ASSISTED LIVING LLC

Former Legal Business Name: GATES MILLS CLUB SENIOR LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D2204870

Address:
6759 MAYFIELD RD
MAYFIELD HEIGHTS, OH
ZIP 44124
Phone: (440) 461-2010
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GATES MILLS ASSISTED LIVING LLC is an assisted living facility in Mayfield Heights, 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. GATES MILLS ASSISTED LIVING LLC NPI is 1649764945. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gates Mills Club Senior Living.

The provider's business location address is:

6759 MAYFIELD RD
MAYFIELD HEIGHTS, OH
ZIP 44124-237
Phone: (440) 461-2010
Fax: (440) 461-5949

The provider's authorized official is Vickie Sheppard .
The authorized official title is Executive Director and has the following contact phone number (440) 461-2010.

The CLIA number assigned to this NPI record is 36D2204870 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2803ROHIOYes

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: 11/14/2023

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