Lamplight Inn of Maple Heights, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAMPLIGHT INN OF MAPLE HEIGHTS, LLC

Practice address

5500 Northfield Rd
Maple Heights, OH 44137-3114

Phone

(216) 510-4336

Fax

(216) 510-4071

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Severine Petras

Title

Manager

Phone

(260) 710-0304

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1417273236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NORTHFIELD RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373114",
            "telephone_number": "216-510-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NORTHFIELD RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373114",
            "telephone_number": "216-510-4336",
            "fax_number": "216-510-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMPLIGHT INN OF MAPLE HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "PETRAS",
        "authorized_official_first_name": "SEVERINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-710-0304",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.