Medina County Sheltered Industries, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MEDINA COUNTY SHELTERED INDUSTRIES, INC.

Doing business as

Windfall Industries

Practice address

150 Quadral Dr Ste D
Wadsworth, OH 44281-8352

Phone

(330) 334-4491

Fax

(330) 334-4492

NPI assigned

May 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James N. Brown IV

Title

Executive Director-Ceo

Phone

(330) 334-4491

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Windfall Industries Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013126176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 QUADRAL DR STE D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818352",
            "telephone_number": "330-334-4491",
            "fax_number": "330-334-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 QUADRAL DR STE D",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818352",
            "telephone_number": "330-334-4491",
            "fax_number": "330-334-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA COUNTY SHELTERED INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-CEO",
        "authorized_official_telephone_number": "330-334-4491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480328",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5201552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windfall Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison McMaster
• Jamie E McNeeley, IBCLC
• Leah Evelyn McNutt
• Erin M McPherson
• Cynthia McQuown, LPCC
• Douglas Alan Megenhardt
• Suresh D Mendpara, MD, MBA
• Taylor Meng, LPN
• Janis Marie Menk
• Stephanie Mesko, D.O.

• Developmentally Disabled Services Day Training Agency in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.