Embassy Lyndhurst, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EMBASSY LYNDHURST, LLC

Practice address

1555 Brainard Rd
Lyndhurst, OH 44124-3098

Phone

(440) 460-1000

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas Ciccone

Title

Chief Compliance Officer

Phone

(216) 378-2050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regent of Lyndhurst Doing business as

Tax ID family

Embassy Lyndhurst LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Embassy Lyndhurst, LLC

  • Skilled Nursing Facility
  • Lyndhurst, OH
  • NPI 1568139467
  NPD tax ID

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1306513239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 190",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225633",
            "telephone_number": "216-378-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243098",
            "telephone_number": "440-460-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY LYNDHURST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "216-378-2050"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "2089R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent of Lyndhurst",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regent of Lyndhurst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Edeh, RN
• Christine Eder, M.A. CCC-SLP
• Thomas Edward Edgehouse, DPT
• Sheldon Eisenberg, ED D
• Ebony Marie Elam, NP
• Embassy Lyndhurst, LLC
• Atara Engel
• Leslie J Engel, LISW
• Nakeisha Englebrecht, RN
• Esper Counseling, LLC

• Assisted Living Facility in Lyndhurst, OH
• Providers in Lyndhurst, 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 Sep 1, 2021; 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.