Active NPI
Gordian Knot Health Services LLC
- Home Health Agency
- Lakewood, OH
National Provider Identifier
1841093622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GORDIAN KNOT HEALTH SERVICES LLC
- Practice address
- 12900 Lake Ave
Lakewood, OH 44107-1577 - Phone
- (216) 469-1730
- NPI assigned
- Mar 28, 2025
- Last updated
- Mar 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Emmanuel Kidola, RN
- Title
- Owner
- Phone
- (216) 469-1730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
12900 Lake Ave
Lakewood, OH 44107-1577
Mailing address
320 Kensington Rd
Rocky River, OH 44116-1510
Phone (216) 469-1730
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1841093622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 KENSINGTON RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161510",
"telephone_number": "216-469-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 LAKE AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441071577",
"telephone_number": "216-469-1730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDIAN KNOT HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "KIDOLA",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-469-1730",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.