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LIFE CARE 360, LLC
NPI 1275153579
Clinic/Center - Primary Care in Garfield Heights, OH

Active since April 16, 2020
12914 BROADWAY AVE, GARFIELD HEIGHTS, OH 44125(216) 848-9123 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Care 360, Llc NPPES

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

LIFE CARE 360, LLC (NPI 1275153579) is a healthcare organization registered as a primary care in Garfield Heights, Ohio and active in the NPI registry since April 2020. The organization lists Kenyatta Vance-anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275153579
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFE CARE 360, LLC
Location Address12914 BROADWAY AVEGarfield Heights, OH 44125-1859
Mailing Address12914 Broadway AveGarfield Heights, OH 44125-1859 · (216) 848-9123
Phone(216) 848-9123
Organization SubpartNo
Authorized OfficialKenyatta Vance-andersonCeo · (216) 848-9123
Enumeration DateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1275153579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12914 BROADWAY AVE, Garfield Heights, OH 44125
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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.

KENYATTA DENISE ANDERSON FNP-C
Nurse Practitioner (Family)
12914 BROADWAY AVE
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 848-9123
SMART CHOICE HOME HEALTHCARE SERVICES
Home Health
12914 BROADWAY AVE
GARFIELD HEIGHTS, OH 44125
Cuyahoga County (216) 848-9123

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 Life Care 360, LLC's NPI number?

The NPI number for Life Care 360, LLC is 1275153579. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is Life Care 360, LLC located?

Life Care 360, LLC is located at 12914 Broadway Ave, Garfield Heights, OH 44125. The listed phone number is (216) 848-9123.

What is Life Care 360, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Life Care 360, LLC was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.