CSL Chardon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL CHARDON, LLC

Doing business as

Residence of Chardon

Practice address

501 Chardon Windsor Rd
Chardon, OH 44024-8944

Phone

(440) 286-2277

NPI assigned

Mar 9, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Holland

Title

VP of Finance

Phone

(972) 770-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Residence of Chardon Doing business as

Tax ID family

CSL Chardon LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• CSL Chardon, LLC

  dba The Residence of Chardon

  • Assisted Living Facility
  • Chardon, OH
  • NPI 1932347713
  NPD tax ID

Locations

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639672207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544319",
            "telephone_number": "972-770-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHARDON WINDSOR RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248944",
            "telephone_number": "440-286-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL CHARDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-770-5600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Residence of Chardon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlynn Craft
• Deborah Jean Cramer Gonzalez
• Laureen Crea
• Jillian Isabella Cressman
• Chad William Crouch, CRNA, MSN
• CSL Chardon, LLC (The Residence of Chardon)
• William Cuff, C.R.N.A.
• Nichelle Cunningham
• Jessica Custard
• Michaelanne Cyvas

• Assisted Living Facility in Chardon, OH
• Providers in Chardon, 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 Jun 16, 2018; 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.