Provider Demographics
NPI:1326538794
Name:LIZZIES HOUSE SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:LIZZIES HOUSE SENIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SKYE
Authorized Official - Middle Name:G
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-816-4188
Mailing Address - Street 1:17325 EUCLID AVE STE 2172
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-1275
Mailing Address - Country:US
Mailing Address - Phone:216-816-4188
Mailing Address - Fax:216-242-6374
Practice Address - Street 1:18307 CORNWALL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-1653
Practice Address - Country:US
Practice Address - Phone:216-556-3457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health