Organization Active NPI

Elizabeth Lane Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Olmsted Falls, OH
National Provider Identifier
1891946901
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
1815541 Issued in OH
Legal business name
ELIZABETH LANE HOME
Practice address
26926 Elizabeth LN
Olmsted Falls, OH 44138-1153
Phone
(440) 427-8336
Fax
(440) 427-8377
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF THE WAYSIDEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Shirley Sharp
Title
Business Administrator
Phone
(440) 934-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 1815541 OH Primary

Addresses

Primary practice location

26926 Elizabeth LN
Olmsted Falls, OH 44138-1153

Mailing address

38135 Colorado Ave
Avon, OH 44011-1028
Phone (440) 934-6152

National Provider Directory

National Provider Directory
Tax ID family
Elizabeth Lane Home8 organizations share this tax ID, including this one
Part of
Elizabeth Lane Home

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1891946901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6152",
            "fax_number": "440-934-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26926 ELIZABETH LN",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441381153",
            "telephone_number": "440-427-8336",
            "fax_number": "440-427-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LANE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE WAYSIDE",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "440-934-6152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "1815541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olmsted Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.