Living a Dream Adult Day, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIVING A DREAM ADULT DAY, LLC

Practice address

9737 Ravenna Rd Ste L
Twinsburg, OH 44087-2143

Phone

(216) 219-2552

NPI assigned

May 11, 2024

Organization subpart

No

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

Authorized official

Name

Tashua Lavone Fortson

Title

Ceo

Phone

(216) 219-2552

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720310400000",
    "number": "1124876313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DANBURY LN",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361414",
            "telephone_number": "216-219-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 RAVENNA RD STE L",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872143",
            "telephone_number": "216-219-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING A DREAM ADULT DAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "TASHUA",
        "authorized_official_middle_name": "LAVONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-219-2552"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Light, D.O.
• Nancy Lisch, MD
• Abra Lisowski
• Calvin Little
• Denise E Littlejohn
• Lee London-Trail, LICDC-S, LPC
• Mia Long
• Steven Long, PMHNP-BC
• Aimee Nicole Lopresti, PT, DPT
• Megan A Lucey, APRN. CNP

• Developmentally Disabled Services Day Training Agency in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.