GRACE HAVEN LIVING LLC NPI 1992656219

NPI Information

  • NPI: 1992656219
  • Provider Name: GRACE HAVEN LIVING LLC
  • Classification: Clinical Nurse Specialist - 364SC1501X
  • Specialization: Community Health/Public Health
  • Entity Type: Organization
  • Address: 1437 E 86TH ST
    CLEVELAND, OH
    ZIP 44106
  • Phone: (216) 616-7846

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NPI Details

GRACE HAVEN LIVING LLC is a community health/public health clinical nurse specialist in Cleveland, OH. GRACE HAVEN LIVING LLC NPI is 1992656219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1437 E 86TH ST
CLEVELAND, OH
ZIP 44106-015
Phone: (216) 616-7846

The provider's authorized official is Dante Lydell Williams .
The authorized official title is President and has the following contact phone number (216) 616-7846.

The enumeration date for this NPI number is 2/4/2026 and was last updated on 2/4/2026.

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
1101YM0800XCounselorMental HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
3343900000XNon-emergency Medical Transport (VAN)No
4364SC1501XClinical Nurse SpecialistCommunity Health/Public HealthYes

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: 11/21/2025

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