Active NPI
Integrated Health Associates LLC
- Chiropractor
- Warrensville Heights, OH
National Provider Identifier
1386493666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- INTEGRATED HEALTH ASSOCIATES LLC
- Practice address
- 25111 Miles Rd Ste D
Warrensville Heights, OH 44128-5419 - Phone
- (440) 528-0005
- Fax
- (440) 528-0011
- NPI assigned
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John K Livingston II, DC
- Title
- President
- Phone
- (440) 528-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
25111 Miles Rd Ste D
Warrensville Heights, OH 44128-5419
Mailing address
220 Bramley CT
Chagrin Falls, OH 44022-3612
Phone (216) 832-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241014003635 | OH | Part B Supplier - Clinic/Group Practice | 4284166356 | Practice locations: Cleveland, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1386493666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BRAMLEY CT",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440223612",
"telephone_number": "216-832-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25111 MILES RD STE D",
"city": "WARRENSVILLE HEIGHTS",
"state": "OH",
"postal_code": "441285419",
"telephone_number": "440-528-0005",
"fax_number": "440-528-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-17",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A",
"authorized_official_last_name": "LIVINGSTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-528-0005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrensville Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.