Organization Active NPI

Simply Living LLC.

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1891023610
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY LIVING LLC.
Practice address
12103 Union Ave
Cleveland, OH 44105-1950
Phone
(440) 623-9148
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mr. Charles E Smith Jr.
Title
Owner
Phone
(440) 623-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12103 Union Ave
Cleveland, OH 44105-1950

Mailing address

3707 Avondale Rd
Woodmere, OH 44122-4503
Phone (440) 623-9148

Other identifiers 1

IdentifierTypeStateIssuer
2966769MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Living Simply Transportation2 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.

Locations

12103 Un Ave
Cleveland, OH 44105
Phone (440) 623-9148

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1891023610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 AVONDALE RD",
            "city": "WOODMERE",
            "state": "OH",
            "postal_code": "441224503",
            "telephone_number": "440-623-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12103 UNION AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051950",
            "telephone_number": "440-623-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-623-9148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2966769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.