Active NPI
Life Change Institute
- Substance Abuse Rehabilitation Facility
- Euclid, OH
National Provider Identifier
1619100047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- LIFE CHANGE INSTITUTE
- Practice address
- 1510 E 221St St
Euclid, OH 44117-1509 - Phone
- (216) 376-2886
- NPI assigned
- Sep 2, 2009
- 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
- Byron R Swift, LSW MSSA
- Title
- Executive Directr
- Phone
- (216) 376-2886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1510 E 221St St
Euclid, OH 44117-1509
Mailing address
PO Box 604002
Cleveland, OH 44104-0002
Phone (216) 376-2886
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Cleveland, OH
- NPI 1053802900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1619100047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604002",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441040002",
"telephone_number": "216-376-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E 221ST ST",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171509",
"telephone_number": "216-376-2886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "BYRON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTR",
"authorized_official_telephone_number": "216-376-2886",
"authorized_official_credential": "LSW MSSA"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.