Meadow Falls Chagrin Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW FALLS CHAGRIN OPCO LLC

Practice address

5277 Chillicothe Rd
Chagrin Falls, OH 44022-4334

Phone

(440) 557-1186

NPI assigned

Nov 14, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avi Lustig

Title

President

Phone

(440) 557-1186

Specialties & licenses 1

Addresses

Other names 1

• Lantern of Chagrin Valley Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1013731090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224334",
            "telephone_number": "440-557-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW FALLS CHAGRIN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-557-1186"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lantern of Chagrin Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita McElrath
• Linda K McGraw, PHD
• Jane McKelvey, M.A., A.T.R.
• McKinley Counseling LLC
• Matthew McKinley, LPCC
• Susanne C. Meaney, ARNP
• Medical and Psychiatric & Consulting Services, LLC
• Marj Melchreit, LISW-S
• Karl V. Metz, M.D.
• Carisa Meyer, RN

• Assisted Living Facility in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.