Bureau of Long-Term Care Services and Supports

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

PN 109895 Issued in OH

Legal business name

BUREAU OF LONG-TERM CARE SERVICES AND SUPPORTS

Practice address

818 Kickapoo Ave
Akron, OH 44305-1208

Phone

(330) 780-1270

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Breanna Hanson

Title

LPN

Phone

(330) 780-1270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1104122340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 KICKAPOO AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051208",
            "telephone_number": "330-780-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 KICKAPOO AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443051208",
            "telephone_number": "330-780-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUREAU OF LONG-TERM CARE SERVICES AND SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BREANNA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "330-780-1270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "PN 109895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Avril Burch, PT, DPT
• Breyana Jequei Burch
• Fletcher Gordon Burch
• Sharon Burch, LPN
• Michael Burdyny
• Kelly E Burgan, LPN
• Debra Kay Burgess
• Dorothy Burgess, CDCA
• Everett Carl Burgess Jr., M.D.
• Kianna Burgins, LPN

• Exclusive Provider Organization in Akron, OH
• Providers in Akron, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.