NPIMap

Organization Active NPI

Life Enhancement Services of Ohio, LLC

  • Community/Behavioral Health Agency
  • Fremont, OH
National Provider Identifier
1821400573
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE ENHANCEMENT SERVICES OF OHIO, LLC
Practice address
416 W State St
Fremont, OH 43420-2577
Phone
(704) 342-9595
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Anthony R Simpson
Title
Managing Member
Phone
(216) 400-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

416 W State St
Fremont, OH 43420-2577

Mailing address

4415 Euclid Ave Ste 335
Cleveland, OH 44103-3758
Phone (216) 400-0207

Other practice location 1

1233 Mount Vernon Ave
Columbus, OH 43203-1523
Phone (216) 400-0207

Other practice location 2

4415 Euclid Ave Ste 335
Cleveland, OH 44103-3758
Phone (216) 400-0207

National Provider Directory

National Provider Directory

Locations

4415 Euclid Ave
Ste 335
Cleveland, OH 44103
Phone (216) 400-0207

416 W State St
Fremont, OH 43420
Phone (419) 552-1882

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1821400573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 335",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033758",
            "telephone_number": "216-400-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202577",
            "telephone_number": "704-342-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031523",
            "country_code": "US",
            "telephone_number": "216-400-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 Euclid Ave Ste 335",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441033758",
            "country_code": "US",
            "telephone_number": "216-400-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-400-0207"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.