Lantern of Chagrin Valley

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2744R Issued in OH

Legal business name

LANTERN OF CHAGRIN VALLEY

Practice address

5277 Chillicothe Rd
Chagrin Falls, OH 44022-4334

Phone

(440) 557-1186

Fax

(440) 338-1435

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nesian Jean Makesh, OTR/L, MBA

Title

Ceo

Phone

(440) 796-1157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144747320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224334",
            "telephone_number": "440-557-1186",
            "fax_number": "440-338-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224334",
            "telephone_number": "440-557-1186",
            "fax_number": "440-338-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN OF CHAGRIN VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAKESH",
        "authorized_official_first_name": "NESIAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-796-1157",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2744R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Chagrin Falls, OH
• Providers in Chagrin Falls, 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 Jul 21, 2022; 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.