Organization Active NPI

Light of Hearts Villa, Inc.

  • Assisted Living Facility
  • Bedford, OH
National Provider Identifier
1053552737
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1917R Issued in OH
Legal business name
LIGHT OF HEARTS VILLA, INC.
Practice address
283 Union St
Bedford, OH 44146-4578
Phone
(440) 232-1991
Fax
(440) 735-3429
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mr. Michael Deluca
Title
Interim Director
Phone
(440) 232-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1917R OH Primary

Addresses

Primary practice location

283 Union St
Bedford, OH 44146-4578

Mailing address

283 Union St
Bedford, OH 44146-4578
Phone (440) 232-1991

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1013763Light of Hearts Villa283 Union Street, Bedford, OH 44146Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1053552737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 UNION ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441464578",
            "telephone_number": "440-232-1991",
            "fax_number": "440-735-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 UNION ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441464578",
            "telephone_number": "440-232-1991",
            "fax_number": "440-735-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF HEARTS VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "440-232-1991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1917R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.