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

Active since May 05, 2025
4855 EAST LAKE ROAD, SHEFFIELD LAKE, OH 44054(440) 315-5553 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

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 one year ago. The authorized official of this NPI record is Ms. Kelly Wilms Rn (Owner)

NPI
1417746645 Verify this NPI
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417746645, enumerated 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.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.