Organization Active NPI

Carestar

  • Physical Disabilities Residential Treatment Facility
  • Marion, OH
National Provider Identifier
1043433113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
CARESTAR
Practice address
134 E Columbia St
Marion, OH 43302-3904
Phone
(740) 382-5425
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Julie A Bryan
Title
Indepant Provider
Phone
(740) 382-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X OH Primary

Addresses

Primary practice location

134 E Columbia St
Marion, OH 43302-3904

Mailing address

134 E Columbia St
Marion, OH 43302-3904
Phone (740) 382-5425

Other identifiers 1

IdentifierTypeStateIssuer
2148170MedicaidOH

National Provider Directory

National Provider Directory

Locations

134 E Columbia St
Marion, OH 43302
Phone (740) 382-5425

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E COLUMBIA ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023904",
            "telephone_number": "740-382-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E COLUMBIA ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023904",
            "telephone_number": "740-382-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INDEPANT PROVIDER",
        "authorized_official_telephone_number": "740-382-5425"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148170",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • 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.