Organization Active NPI

Glass City Behavioral Healthcare Inc

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1093278699
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLASS CITY BEHAVIORAL HEALTHCARE INC
Practice address
5151 Monroe St Ste 244
Toledo, OH 43623-3461
Phone
(419) 957-1863
NPI assigned
Apr 10, 2019
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Mr. Edward Foster ShyNPI 1275029191
Title
Vice-President
Phone
(419) 503-4568

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5151 Monroe St Ste 244
Toledo, OH 43623-3461

Mailing address

18600 Red Hawk CT
Findlay, OH 45840-9433
Phone (419) 503-4568

Other practice location 1

18600 Red Hawk Ct
Findlay, OH 45840-9433
Phone (419) 957-1863

National Provider Directory

National Provider Directory

Locations

5151 Monroe St
Ste 244
Toledo, OH 43623
Phone (419) 957-1863

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": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1093278699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 RED HAWK CT",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458409433",
            "telephone_number": "419-503-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 244",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "419-957-1863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18600 Red Hawk Ct",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458409433",
            "country_code": "US",
            "telephone_number": "419-957-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLASS CITY BEHAVIORAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "SHY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FOSTER",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "419-503-4568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.