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GATES MILLS ASSISTED LIVING LLC
NPI 1649764945
Assisted Living Facility in Mayfield Heights, OH

Active since June 20, 2018CLIA 36D2204870 · Waiver
6759 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124(440) 461-2010(440) 461-5949 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gates Mills Assisted Living Llc NPPES

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

GATES MILLS ASSISTED LIVING LLC (NPI 1649764945), doing business as Gates Mills Club Senior Living, is a healthcare organization registered as an assisted living facility in Mayfield Heights, Ohio and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Vickie Sheppard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649764945
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGATES MILLS ASSISTED LIVING LLC
Location Address6759 MAYFIELD RDMayfield Heights, OH 44124-2237
Mailing Address6759 Mayfield RdMayfield Heights, OH 44124-2237 · (440) 461-2010 · Fax (440) 461-5949
Phone(440) 461-2010
Fax(440) 461-5949
Organization SubpartNo
Authorized OfficialVickie SheppardExecutive Director · (440) 461-2010
Enumeration DateJune 20, 2018
✔ NPI 1649764945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2803R
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6759 MAYFIELD RD, Mayfield Heights, OH 44124
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Other Names 1

Former Legal Business NameGates Mills Club Senior Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2204870

Gates Mills Club Assisted Living · Mayfield Heights, OH
Active · expires Dec 9, 2026
CLIA Number36D2204870
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorHelena Smith
Laboratory Phone(440) 461-2010
Laboratory LocationGates Mills Club Assisted Living6759 Mayfield Rd, Mayfield Heights, OH 44124
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gates Mills Assisted Living LLC's NPI number?

The NPI number for Gates Mills Assisted Living LLC is 1649764945. It was assigned to this organization in the NPPES registry on June 20, 2018. The provider was formerly known as Gates Mills Club Senior Living.

Where is Gates Mills Assisted Living LLC located?

Gates Mills Assisted Living LLC is located at 6759 Mayfield Rd, Mayfield Heights, OH 44124. The listed phone number is (440) 461-2010.

What is Gates Mills Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Gates Mills Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2204870) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gates Mills Assisted Living LLC was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.