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JEANETTES SANCTUARY LLC
NPI 1710788419
Community Based Residential Treatment Facility, Mental Illness in Elyria, OH

Active since March 20, 2025
38780 CHESTNUT RIDGE RD, ELYRIA, OH 44035(440) 219-4004 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeanettes Sanctuary Llc NPPES

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

JEANETTES SANCTUARY LLC (NPI 1710788419) is a healthcare organization registered as a community based residential treatment facility, mental illness in Elyria, Ohio and active in the NPI registry since March 2025. The organization lists Latasha Monique Gordon, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1710788419
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameJEANETTES SANCTUARY LLC
Location Address38780 CHESTNUT RIDGE RDElyria, OH 44035-8232
Mailing Address113 Lexington AveElyria, OH 44035-6217 · (440) 657-6446
Phone(440) 219-4004
Organization SubpartNo
Authorized OfficialLatasha Monique GordonFounder/ceo · (440) 657-6446
Enumeration DateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1710788419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
38780 CHESTNUT RIDGE RD, Elyria, OH 44035
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Jeanettes Sanctuary LLC's NPI number?

The NPI number for Jeanettes Sanctuary LLC is 1710788419. It was assigned to this organization in the NPPES registry on March 20, 2025.

Where is Jeanettes Sanctuary LLC located?

Jeanettes Sanctuary LLC is located at 38780 Chestnut Ridge Rd, Elyria, OH 44035. The listed phone number is (440) 219-4004.

What is Jeanettes Sanctuary LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Jeanettes Sanctuary LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.