Living A Dream Adult Day, LLC
Day Training, Developmentally Disabled Services in Twinsburg, OH. Organization (NPI-2).
NPI number1124876313
StatusActive
Last updated in NPPESJul 7, 2024
Details
- NPI
- 1124876313
- Entity type
- Organization (NPI-2)
- Legal business name
- Living A Dream Adult Day, LLC
- Organization subpart
- No
- Enumeration date
- May 11, 2024
- Certification date
- Jul 7, 2024
- Last updated
- Jul 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | Yes |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – |
Practice location
9737 Ravenna Rd Ste LTwinsburg, OH 44087-2143
Phone 216-219-2552
Mailing address
2401 Danbury LnHudson, OH 44236-1414
Phone 216-219-2552
Authorized official
Tashua Lavone Fortson
Ceo
2162192552
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Developmentally Disabled Services Day Training Agency providers in Twinsburg, OH
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.