Organization Active NPI

Grand Care Assisted Living

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Westlake, OH
National Provider Identifier
1740043223
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
GRAND CARE ASSISTED LIVING
Practice address
1405 Crossings Pkwy
Westlake, OH 44145-6253
Phone
(574) 302-6559
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Leta Gedion GirshaNPI 1487421194
Title
Ceo/Owner
Phone
(574) 302-6559

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

1405 Crossings Pkwy
Westlake, OH 44145-6253

Mailing address

1405 Crossings Pkwy
Westlake, OH 44145-6253
Phone (574) 302-6559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1740043223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CROSSINGS PKWY",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456253",
            "telephone_number": "574-302-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CROSSINGS PKWY",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456253",
            "telephone_number": "574-302-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "GIRSHA",
        "authorized_official_first_name": "LETA",
        "authorized_official_middle_name": "GEDION",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "574-302-6559"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.