Provider Demographics
NPI:1003522830
Name:BILECI LLC
Entity Type:Organization
Organization Name:BILECI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BILECI-COCCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-321-0974
Mailing Address - Street 1:11585 BLACKBERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1508
Mailing Address - Country:US
Mailing Address - Phone:440-321-0974
Mailing Address - Fax:
Practice Address - Street 1:308 S STATE ST
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3532
Practice Address - Country:US
Practice Address - Phone:440-321-0974
Practice Address - Fax:440-354-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness