LIFE CHANGE INSTITUTE (NPI# 1619100047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619100047 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGE INSTITUTE |
| Practice Address |
1510 E 221st St Euclid OH 44117-1509 |
| Mailing Address |
Po Box 604002 Cleveland OH 44104-0002 |
| Practice Telephone | 2163762886 |
| Mailing Telephone | 2163762886 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | BYRON R SWIFT (EXECUTIVE DIRECTR) |
| Authorized Official Telephone | 2163762886 |
| Authorized Official Credential | LSW MSSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1510 E 221ST ST |
| City | EUCLID |
| State | OH |
| Zip Code | 44117-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841758026 | A & B Care Corp. | Licensed Practical Nurse | 19451 Euclid Ave Sf East, Sf East Apt 1, Euclid, OH 44117 | 2019-03-07 |
| 1568973949 | Kareesha Mccray | Counselor | 22369 Euclid Ave, Euclid, OH 44117 | 2017-10-12 |
| 1063895696 | Taneisha Black | Nurse's Aide | 10127 South Blvd, Apt 3, Cleveland, OH 44117 | 2015-07-01 |
| 1144630211 | Tia Shoulders | Licensed Practical Nurse | 1914 Grand Blvd, Euclid, OH 44117 | 2014-04-29 |
| 1639596869 | Precious Medical Health Ser LLC | Clinic/Center | 25000 Euclid Ave #408, Euclid, OH 44117 | 2014-03-26 |
| 1073948949 | Stacey Robyn Carr | Home Health Aide | 2105 Algonquin Road, Euclid, OH 44117 | 2013-09-10 |
| 1295045862 | Jeanette S. Henry | Home Health | 18551 Dansy Dr, Euclid, OH 44117 | 2010-10-18 |
| 1821238510 | Laverne Wilcox | Counselor | 1798 Cedar Ct, Euclid, OH 44117 | 2009-02-20 |
| 1801012174 | Gba Homecare Services | Home Health | 1554 E 195th, Up, Euclid, OH 44117 | 2007-04-17 |
| 1205959137 | Sarah Turner Kuestner | Pediatrics | 24701 Euclid Avenue, Rainbow Babies and Children's Hospital, Euclid, OH 44117 | 2007-04-07 |
| Find all providers in zip 44117 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789833 | Landmark Recovery of Euclid LLC | Substance Abuse Rehabilitation Facility | 19350 Euclid Ave, Euclid, OH 44117-1425 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.