Provider Demographics
NPI:1245037985
Name:CHAGRIN VALLEY SENIORS
Entity type:Organization
Organization Name:CHAGRIN VALLEY SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-998-7025
Mailing Address - Street 1:1284 SOM CENTER RD STE 375
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2048
Mailing Address - Country:US
Mailing Address - Phone:216-998-2273
Mailing Address - Fax:
Practice Address - Street 1:4949 GALAXY PKWY STE A
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5959
Practice Address - Country:US
Practice Address - Phone:216-998-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care