Organization
LIFTEDCLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA N EATON (CEO)
(866) 854-3833
Entity
Organization
Contact information
Practice address
4098 E 123RD ST, CLEVELAND, OH 44105-5456
(866) 854-3833
Mailing address
4098 E 123RD ST, CLEVELAND, OH 44105-5456
(866) 854-3833
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332U00000X
Home Delivered Meals
—
—
342000000X
Transportation Network Company
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/05/2024
Last updated
12/14/2024
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