NPIMap

Organization Active NPI

James C Caldwell Community Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Toledo, OH
National Provider Identifier
1104054576
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
501211 Issued in OH
Legal business name
JAMES C CALDWELL COMMUNITY CENTER
Practice address
3201 Stickney Ave
Toledo, OH 43608-2016
Phone
(419) 729-4654
Fax
(419) 729-4004
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Mr. James M. Caldwell
Title
President/Ceo
Phone
(419) 242-5000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care Camp 385HR2050X 501211 OH
Child Mental Illness Respite Care 385HR2055X 501211 OH
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 501211 OH Primary

Addresses

Primary practice location

3201 Stickney Ave
Toledo, OH 43608-2016

Mailing address

3201 Stickney Ave
Toledo, OH 43608-2016
Phone (419) 729-4654

National Provider Directory

National Provider Directory
Tax ID family
James C Caldwell Community Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Stickney Ave
Toledo, OH 43608
Phone (419) 729-4654

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1104054576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 STICKNEY AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082016",
            "telephone_number": "419-729-4654",
            "fax_number": "419-729-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 STICKNEY AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082016",
            "telephone_number": "419-729-4654",
            "fax_number": "419-729-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C CALDWELL COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-242-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "OH",
            "license": "501211",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "OH",
            "license": "501211",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "501211",
            "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 25, 2009; 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.