Organization
INDEPENDENCE VILLAGE AVON LAKE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN KNIGHT (EXECUTIVE DIRECTOR)
(440) 930-7100
Entity
Organization
Contact information
Practice address
345 LEAR RD, AVON LAKE, OH 44012-2096
(440) 930-7100
(440) 930-2679
Mailing address
345 LEAR RD, AVON LAKE, OH 44012-2096
(440) 930-7100
(440) 930-2679
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2361R
OH
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up