Gates Mills Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2803R Issued in OH

Legal business name

GATES MILLS ASSISTED LIVING LLC

Practice address

6759 Mayfield Rd
Mayfield Heights, OH 44124-2237

Phone

(440) 461-2010

Fax

(440) 461-5949

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Vickie Sheppard

Title

Executive Director

Phone

(440) 461-2010

Specialties & licenses 1

Addresses

Other names 1

• Gates Mills Club Senior Living Former legal business name

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Allan Shane, DPM

  • Podiatrist
  • Akron, OH
  • NPI 1790812188
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1649764945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6759 MAYFIELD RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242237",
            "telephone_number": "440-461-2010",
            "fax_number": "440-461-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 MAYFIELD RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242237",
            "telephone_number": "440-461-2010",
            "fax_number": "440-461-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES MILLS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-461-2010"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2803R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gates Mills Club Senior Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Magda Garcia
• Allison Garfunkel, M.ED, BCBA, COBA
• Julia Garich, PA
• Kellie M Garling, FNP-BC
• Christopher Garrett
• Julie Marie Gauntner, MSN, PMHNP
• Angela Gellings Mardula, PA
• Ian Bradley Gentile, BCBA
• Nicola Gentille
• Milena Georgiadi, DPT

• Assisted Living Facility in Mayfield Heights, OH
• Providers in Mayfield Heights, 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 20, 2018; 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.