TREE OF LIFE HEALTHCARE LLC (NPI# 1386243939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386243939 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE HEALTHCARE LLC |
| Practice Address |
3043 Kiwatha Rd Youngstown OH 44511-3003 |
| Practice Telephone | 3307295748 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | DR. MELINDA SMITH (OWNER) |
| Authorized Official Telephone | 3307295748 |
| Authorized Official Credential | DNP, ACNS-BC,MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1831446863 | 05 | |
| OH | 1316071368 | 05 |
| Street Address |
3043 KIWATHA RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1356307235 | Meridian Healthcare | Clinic/Center | 527 N Meridian Rd, Youngstown, OH 44509-1227 | 2006-04-21 |
| 1043274426 | Turning Point Counseling Services, Inc. | Clinic/Center | 611 Belmont Ave, Youngstown, OH 44502-1037 | 2006-04-13 |
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| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| 1003433848 | Liberty Counseling and Consulting LLC | Clinic/Center | 4769 Free Pike, Dayton, OH 45416-1111 | 2020-06-27 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.