Embers to Bloom LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EMBERS TO BLOOM LLC

Practice address

159 Crocker Park Blvd Ste 400
Westlake, OH 44145-8147

Phone

(513) 513-6237

NPI assigned

Apr 5, 2024

Organization subpart

No

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

Authorized official

Name

Nichole DemesminNPI 1891400602

Title

Managing Member

Phone

(407) 230-3954

Specialties & licenses 1

Addresses

Tax ID family

Embers to Bloom 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.

• Embers to Bloom LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westlake, OH
  • NPI 1124968763
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Embers to Bloom LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westlake, OH
  • NPI 1124968763
  NPPES parent name

Practitioners 1

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

• Nichole Demesmin

  • Case Manager/Care Coordinator
  • Westlake, OH
  • NPI 1891400602
  NPD Authorized official

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1689427130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 CONROY WINDERMERE RD UNIT 3089",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865121",
            "telephone_number": "321-895-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD STE 400",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458147",
            "telephone_number": "513-513-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBERS TO BLOOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "DEMESMIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-230-3954"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee Beth Ellis, MED
• Nicole Elizabeth Ellis, PT,DPT
• Tynisha Ellis
• Anna Maria Louise Ellsesser, O.D.
• Embers to Bloom LLC
• Isabella Enders
• Endovascular Imaging Partners II, LLC
• Katherine Engel, LPCC
• Jennifer L English, RBT
• Conley Walter Engstrom, MD

• Multi-Specialty Clinic/Center in Westlake, OH
• Providers in Westlake, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.