Terreforme Enterprises Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2096 Issued in OH

Legal business name

TERREFORME ENTERPRISES INC

Practice address

596 Champion Ave W
Warren, OH 44483-1312

Phone

(330) 847-6800

Fax

(330) 847-6621

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Elissa Mae Sandberg-Roden

Title

Administrator

Phone

(330) 847-6800

Specialties & licenses 1

Addresses

Other names 1

• Clearview Lantern Suites Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1508029679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 CHAMPION AVE W",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831312",
            "telephone_number": "330-847-6800",
            "fax_number": "330-847-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 CHAMPION AVE W",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831312",
            "telephone_number": "330-847-6800",
            "fax_number": "330-847-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERREFORME ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SANDBERG-RODEN",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-847-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Lantern Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Warren, OH
• Providers in Warren, 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 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.