Enrichment Home LLC
Point of Service in Cleveland, OH. Organization (NPI-2).
NPI number1194466250
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1194466250
- Entity type
- Organization (NPI-2)
- Legal business name
- Enrichment Home LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 4, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 310400000X | Assisted Living Facility | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | |
| 311Z00000X | Custodial Care Facility | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – |
Practice location
1126 E 114th StCleveland, OH 44108-3745
Phone 216-532-9034
Mailing address
1128 E 114th StCleveland, OH 44108-3745
Phone 216-532-9034
Authorized official
Barbara Griffin
Owner
2165329034
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