Healthcare Provider Details

I. General information

NPI: 1215899737
Provider Name (Legal Business Name): EMILEE LINDAHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27158 LAKE RD
BAY VILLAGE OH
44140-2271
US

IV. Provider business mailing address

677 W SHORE BLVD
SHEFFIELD LAKE OH
44054-1346
US

V. Phone/Fax

Practice location:
  • Phone: 216-246-2706
  • Fax:
Mailing address:
  • Phone: 440-990-5029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: