Healthcare Provider Details

I. General information

NPI: 1538004510
Provider Name (Legal Business Name): LIVING BEYOND LIMITS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 PORTAGE ST NW
NORTH CANTON OH
44720-2267
US

IV. Provider business mailing address

1328 PORTAGE ST NW
NORTH CANTON OH
44720-2267
US

V. Phone/Fax

Practice location:
  • Phone: 330-352-8938
  • Fax:
Mailing address:
  • Phone: 330-352-8938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: VALEN MARIE WILSON
Title or Position: DOO
Credential:
Phone: 330-352-8938