Healthcare Provider Details

I. General information

NPI: 1063338531
Provider Name (Legal Business Name): CHRISTOPHER M MERRITT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 MAYFIELD RD STE 201
SOUTH EUCLID OH
44121-3037
US

IV. Provider business mailing address

4225 MAYFIELD RD STE 201
SOUTH EUCLID OH
44121-3037
US

V. Phone/Fax

Practice location:
  • Phone: 216-202-9387
  • Fax:
Mailing address:
  • Phone: 216-202-9387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberTH235295
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: