Organization Active NPI

Executive Living Health Services

  • Home Health Agency
  • South Euclid, OH
National Provider Identifier
1083182737
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXECUTIVE LIVING HEALTH SERVICES
Practice address
14055 Cedar Rd Ste 302
South Euclid, OH 44118-3333
Phone
(440) 945-6426
Fax
(440) 658-9419
NPI assigned
Nov 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mr. Leon J Williams
Title
Owner
Phone
(216) 401-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14055 Cedar Rd Ste 302
South Euclid, OH 44118-3333

Mailing address

7743 Regency Dr
Walton Hills, OH 44146-5371
Phone (440) 945-6426

National Provider Directory

National Provider Directory

Locations

14055 Cedar Rd
Ste 302
South Euclid, OH 44118
Phone (216) 230-6568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1083182737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 REGENCY DR",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441465371",
            "telephone_number": "440-945-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 CEDAR RD STE 302",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441183333",
            "telephone_number": "440-945-6426",
            "fax_number": "440-658-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE LIVING HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-401-9286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.