A Different Edge Residential Services, LLP

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

A DIFFERENT EDGE RESIDENTIAL SERVICES, LLP

Practice address

33140 Aurora Rd Ste 3
Solon, OH 44139-3650

Phone

(216) 210-2865

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shamarah Thomas-Hutchins, PH.DNPI 1316456882

Title

Managing Partner

Phone

(216) 210-2865

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shamarah J Thomas-Hutchins, PH.D.

  • Addiction (Substance Use Disorder) Counselor
  • Solon, OH
  • NPI 1316456882
  NPD Authorized official

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1033833934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33140 AURORA RD STE 3",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393650",
            "telephone_number": "216-210-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33140 AURORA RD STE 3",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393650",
            "telephone_number": "216-210-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A DIFFERENT EDGE RESIDENTIAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS-HUTCHINS",
        "authorized_official_first_name": "SHAMARAH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "216-210-2865",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "33140 Aurora Rd Ste 3",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441393650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Solon, OH
• Providers in Solon, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.