Meadow Falls Wickliffe Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW FALLS WICKLIFFE OPCO LLC

Practice address

30630 Ridge Rd
Wickliffe, OH 44092-1166

Phone

(440) 943-2050

NPI assigned

Mar 24, 2026

Organization subpart

No

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

Authorized official

Name

Avi Lustig

Title

Manager

Phone

(917) 544-4713

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1124966759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30630 RIDGE RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30630 RIDGE RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921166",
            "telephone_number": "440-943-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW FALLS WICKLIFFE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-544-4713"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Wickliffe, OH
• Providers in Wickliffe, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.