Organization Active NPI

Pamela C Kline

  • Physical Disabilities Residential Treatment Facility
  • Carlisle, OH
National Provider Identifier
1104867688
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
PAMELA C KLINE
Practice address
10075 Jamaica Rd
Carlisle, OH 45005-5902
Phone
(937) 746-2101
NPI assigned
Jun 8, 2006
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
Mrs. Pamela Christine Kline
Title
Home Aide
Phone
(937) 746-2101

Specialties & licenses 1

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

Addresses

Primary practice location

10075 Jamaica Rd
Carlisle, OH 45005-5902

Mailing address

10075 Jamaica Rd
Carlisle, OH 45005-5902

Other identifiers 1

IdentifierTypeStateIssuer
2201478MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104867688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 JAMAICA RD",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450055902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 JAMAICA RD",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450055902",
            "telephone_number": "937-746-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA C KLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "HOME AIDE",
        "authorized_official_telephone_number": "937-746-2101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201478",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, 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.