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General NPI Number Information
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NPI Number | 1063357960
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Entity Type | Organization
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Legal Business Name | RESTORING LIVES LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 6150 ENTERPRISE PKWY STE 115
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City | SOLON
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State | OH
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Zip | 44139-2755
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Country | US
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Telephone | 216-924-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 SWEET BIRCH DR
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-3073
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Country | US
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Telephone | 216-924-0920
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JASMIN BLUE
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Credential | LPN
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Telephone | 216-924-0920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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