LIFE CARE 360 LLC NPI 1275153579

NPI Information

  • NPI: 1275153579
  • Provider Name: LIFE CARE 360, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 12914 BROADWAY AVE
    GARFIELD HEIGHTS, OH
    ZIP 44125
  • Phone: (216) 848-9123

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NPI Details

LIFE CARE 360, LLC is a primary care clinic center in Garfield Heights, OH. LIFE CARE 360, LLC NPI is 1275153579. The provider is registered as an organization entity type.

The provider's business location address is:

12914 BROADWAY AVE
GARFIELD HEIGHTS, OH
ZIP 44125-859
Phone: (216) 848-9123

The provider's authorized official is Kenyatta Vance-anderson .
The authorized official title is Ceo and has the following contact phone number (216) 848-9123.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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