Healthcare Provider Details

I. General information

NPI: 1841128865
Provider Name (Legal Business Name): CHANGING LIVES WITH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

496 E 200TH ST
EUCLID OH
44119-1566
US

IV. Provider business mailing address

381 LEVERETT LN
HIGHLAND HEIGHTS OH
44143-3737
US

V. Phone/Fax

Practice location:
  • Phone: 216-233-3598
  • Fax:
Mailing address:
  • Phone: 216-233-3598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL SAUNDERS
Title or Position: CEO
Credential:
Phone: 216-233-3598