Healthcare Provider Details

I. General information

NPI: 1245848498
Provider Name (Legal Business Name): PIECES EARLY LEARNING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 HOLLY LN
CHAGRIN FALLS OH
44022-4198
US

IV. Provider business mailing address

150 HOLLY LN
CHAGRIN FALLS OH
44022-4198
US

V. Phone/Fax

Practice location:
  • Phone: 216-202-7085
  • Fax: 440-557-5236
Mailing address:
  • Phone: 216-202-7085
  • Fax: 440-557-5236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA E MUELLER
Title or Position: OWNER
Credential:
Phone: 216-202-0785