Healthcare Provider Details

I. General information

NPI: 1952279135
Provider Name (Legal Business Name): LONDON PREMIER CARE RESIDENCES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 LONDON RD STE 101
CLEVELAND OH
44110-3374
US

IV. Provider business mailing address

844 LONDON RD STE 101
CLEVELAND OH
44110-3374
US

V. Phone/Fax

Practice location:
  • Phone: 216-906-1792
  • Fax:
Mailing address:
  • Phone: 216-906-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TERREIA S WHITSETT
Title or Position: CEO
Credential:
Phone: 216-906-1792