Living Ancestors Home & Community Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING ANCESTORS HOME & COMMUNITY CARE, LLC

Practice address

10901 Massie Ave
Cleveland, OH 44108-3655

Phone

(404) 637-8932

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Charise M Jones

Title

Executive Director

Phone

(404) 637-8932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1114607876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 MASSIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 MASSIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083655",
            "telephone_number": "404-637-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ANCESTORS HOME & COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-637-8932"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yao-Chang Liu, MD
• Yun-Yu Liu, MD
• Joanne Livaditis
• Amanda Livengood, BCBA
• Living Ancestor Home Care, LLC
• Living Legends Daycenter
• Living Simply Transportation
• Living Well Community Housing LLC
• Trevon Livingston, QBHS
• Kristen Liviskie

• Home Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.