Healthcare Provider Details

I. General information

NPI: 1265258826
Provider Name (Legal Business Name): ALL THINGS RESTORED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2024
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 TUPELO DR
BEDFORD HEIGHTS OH
44146-4848
US

IV. Provider business mailing address

6717 TUPELO DR
BEDFORD HEIGHTS OH
44146-4848
US

V. Phone/Fax

Practice location:
  • Phone: 440-821-7244
  • Fax:
Mailing address:
  • Phone: 440-821-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LACRECHA NICHOLE MERRIMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 440-821-7244