Organization Active NPI

Embers to Bloom LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westlake, OH
National Provider Identifier
1124968763
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMBERS TO BLOOM LLC
Practice address
159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147
Phone
(513) 513-6237
NPI assigned
Apr 1, 2026
Organization subpart
Yes
Parent organization
EMBERS TO BLOOM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Nichole Demesmin
Title
Dir of Operations
Phone
(513) 513-6237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147

Mailing address

159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147

National Provider Directory

National Provider Directory
Tax ID family
Embers to Bloom LLC2 organizations share this tax ID, including this one
Part of
Embers to Bloom LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1124968763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD STE 400",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD STE 400",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458147",
            "telephone_number": "513-513-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBERS TO BLOOM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMBERS TO BLOOM LLC",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "DEMESMIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "DIR OF OPERATIONS",
        "authorized_official_telephone_number": "513-513-6237"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.