Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Village Avon Lake LLC

Organization Assisted Living Facility · NPI 1245645332

Independence Village Avon Lake LLC is an Assisted Living Facility in Avon Lake, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

345 Lear Rd
Avon Lake, OH 44012-2096
Phone: (440) 930-7100
Fax: (440) 930-2679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 2361R (OH)

Record details

NPI number1245645332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Knight — Executive Director · (440) 930-7100
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 26, 2014
Mailing address345 Lear Rd, Avon Lake, OH 44012-2096

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