NPIMap

Organization Active NPI

Middleburg-Legacy Place, LLC

  • Assisted Living Facility
  • Middleburg Heights, OH
National Provider Identifier
1396544342
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIDDLEBURG-LEGACY PLACE, LLC
Practice address
7040 Hepburn Rd
Middleburg Heights, OH 44130-4802
Phone
(440) 260-7626
Fax
(216) 898-8455
NPI assigned
Mar 12, 2025
Organization subpart
Yes
Parent organization
MIDDLEBURG-LEGACY PLACE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
James J Taylor
Title
Ceo
Phone
(440) 590-0969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7040 Hepburn Rd
Middleburg Heights, OH 44130-4802

Mailing address

7040 Hepburn Rd
Middleburg Heights, OH 44130-4802
Phone (440) 260-7626

Other names 1

  • Parkside Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Middleburg-Legacy Place LLC3 organizations share this tax ID, including this one
Part of
Middleburg-Legacy Place LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1396544342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 HEPBURN RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304802",
            "telephone_number": "440-260-7626",
            "fax_number": "216-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 HEPBURN RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304802",
            "telephone_number": "440-260-7626",
            "fax_number": "216-898-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG-LEGACY PLACE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLEBURG-LEGACY PLACE, LLC",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-590-0969"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.