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CHARISSE ALI, LLC A LASTING IMPRESSION
NPI 1063008670
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ashtabula, OH

Active since December 17, 2020
1440 W PROSPECT RD, ASHTABULA, OH 44004(440) 319-2078(440) 998-5820 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charisse Ali, Llc A Lasting Impression NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARISSE ALI, LLC A LASTING IMPRESSION (NPI 1063008670) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ashtabula, Ohio and active in the NPI registry since December 2020. The organization lists Charisse Lillian Ali, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1063008670
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCHARISSE ALI, LLC A LASTING IMPRESSION
Location Address1440 W PROSPECT RDAshtabula, OH 44004-6668
Mailing AddressPo Box 548Ashtabula, OH 44005-0548 · (440) 319-2078 · Fax (440) 998-5820
Phone(440) 319-2078
Fax(440) 998-5820
Organization SubpartNo
Authorized OfficialCharisse Lillian AliCeo/owner · (440) 319-2078
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1063008670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1440 W PROSPECT RD, Ashtabula, OH 44004
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARISSE LILLIAN ALI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1440 W PROSPECT RD
ASHTABULA, OH 44004
Ashtabula County (440) 319-2078
GREENELIGHT WORKFORCE, LLC
Day Training, Developmentally Disabled Services
1440 W PROSPECT RD
ASHTABULA, OH 44004
Ashtabula County (440) 998-5820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charisse Ali, LLC A Lasting Impression's NPI number?

The NPI number for Charisse Ali, LLC A Lasting Impression is 1063008670. It was assigned to this organization in the NPPES registry on December 17, 2020.

Where is Charisse Ali, LLC A Lasting Impression located?

Charisse Ali, LLC A Lasting Impression is located at 1440 W Prospect Rd, Ashtabula, OH 44004. The listed phone number is (440) 319-2078.

What is Charisse Ali, LLC A Lasting Impression's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Charisse Ali, LLC A Lasting Impression was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.