Organization Active NPI

The Stables at Rose of Sharon

Doing business as Catalyst Farm

  • Rehabilitation Clinic/Center
  • Wadsworth, OH
National Provider Identifier
1053790287
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THE STABLES AT ROSE OF SHARON
Doing business as
Catalyst Farm
Practice address
1021 Ridgewood Rd
Wadsworth, OH 44281-9711
Phone
(330) 697-4382
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mrs. Jillian Deena Pelland, OTR/LNPI 1831531276
Title
Owner
Phone
(330) 697-4382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1021 Ridgewood Rd
Wadsworth, OH 44281-9711

Mailing address

1021 Ridgewood Rd
Wadsworth, OH 44281-9711
Phone (330) 697-4382

Other names 1

  • Catalyst Farm Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1053790287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 RIDGEWOOD RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819711",
            "telephone_number": "330-697-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 RIDGEWOOD RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819711",
            "telephone_number": "330-697-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STABLES AT ROSE OF SHARON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "PELLAND",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "DEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-697-4382",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Farm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.