LIVE LOVE LAKE SENIOR LIVING
NPI 1417746645
Community Based Residential Treatment Facility, Mental Illness in Sheffield Lake, OH

NPI Status: Active since May 05, 2025

Contact Information

4855 EAST LAKE ROAD
SHEFFIELD LAKE, OH
ZIP 44054
Phone: (440) 315-5553

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About LIVE LOVE LAKE SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Live Love Lake Senior Living, a provider established in Sheffield Lake, Ohio operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1417746645 assigned on May 2025. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Ms. Kelly Wilms Rn (Owner)

NPI
1417746645
Provider Name
LIVE LOVE LAKE SENIOR LIVING
Entity Type
Organization
Location Address
4855 EAST LAKE ROAD SHEFFIELD LAKE, OH 44054
Location Phone
(440) 315-5553
Mailing Address
4855 EAST LAKE ROAD SHEFFIELD LAKE, OH 44054
Mailing Phone
(440) 315-5553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2025
Last Update Date
05-05-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KELLY WILMS RN

Authorized Official Title
OWNER
Authorized Official Phone
(440) 315-5553

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417746645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271441268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 4 + 4 + 1 + 2 + 6 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1417746645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417746645, enumerated in the NPI registry as an "organization" on May 05, 2025

The provider is located at 4855 East Lake Road Sheffield Lake, Oh 44054 and the phone number is (440) 315-5553

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on May 05, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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