Healthcare Provider Details

I. General information

NPI: 1326538794
Provider Name (Legal Business Name): LIZZIES HOUSE SENIOR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 ALPHA PARK
HIGHLAND HTS OH
44143-2208
US

IV. Provider business mailing address

17325 EUCLID AVE STE 2172
CLEVELAND OH
44112-1275
US

V. Phone/Fax

Practice location:
  • Phone: 216-816-4188
  • Fax: 216-242-6374
Mailing address:
  • Phone: 216-816-4188
  • Fax: 216-242-6374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SKYE G GRIGGS
Title or Position: OWNER/CEO
Credential:
Phone: 216-816-4188