Healthcare Provider Details

I. General information

NPI: 1871411223
Provider Name (Legal Business Name): AFAMILY VITALITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5676 MAYFIELD RD
LYNDHURST OH
44124-2916
US

IV. Provider business mailing address

5676 MAYFIELD RD
LYNDHURST OH
44124-2916
US

V. Phone/Fax

Practice location:
  • Phone: 440-447-1207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAYDIN ROBINSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 440-447-1207