Organization Active NPI

Flourish Senior Living Inc.

  • Assisted Living Facility
  • Cleveland, OH
National Provider Identifier
1083306005
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FLOURISH SENIOR LIVING INC.
Practice address
3860 E 149TH St
Cleveland, OH 44128-1104
Phone
(216) 798-3521
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Shaniya ScovilNPI 1093302366
Title
Owner
Phone
(216) 798-3521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3860 E 149TH St
Cleveland, OH 44128-1104

Mailing address

3860 E 149TH St
Cleveland, OH 44128-1104
Phone (216) 798-3521

Other identifiers 1

IdentifierTypeStateIssuer
0426069MedicaidOH

National Provider Directory

National Provider Directory

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1083306005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 E 149TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281104",
            "telephone_number": "216-798-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 E 149TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281104",
            "telephone_number": "216-798-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH SENIOR LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SCOVIL",
        "authorized_official_first_name": "SHANIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-798-3521"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.