NPIMap

Organization Active NPI

Ohio Mentor, Inc

  • Community/Behavioral Health Agency
  • Akron, OH
National Provider Identifier
1104961747
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0528 Issued in OH
Legal business name
OHIO MENTOR, INC
Practice address
791 White Pond Dr
Suite B
Akron, OH 44320-4202
Phone
(330) 846-5895
Fax
(330) 864-5843
NPI assigned
Feb 21, 2007
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Ms. Robin D Klaco
Title
State Accounting Manager
Phone
(330) 864-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0528 OH Primary

Addresses

Primary practice location

791 White Pond Dr
Suite B
Akron, OH 44320-4202

Mailing address

6200 Rockside Woods Blvd N Ste 305
Independence, OH 44131-2343
Phone (216) 525-1885

National Provider Directory

National Provider Directory
Tax ID family
Ohio Mentor Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

791 White Pond Dr
Ste B
Akron, OH 44320
Phone (330) 846-5895

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1104961747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 ROCKSIDE WOODS BLVD N STE 305",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312343",
            "telephone_number": "216-525-1885",
            "fax_number": "216-525-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 WHITE POND DR",
            "address_2": "SUITE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204202",
            "telephone_number": "330-846-5895",
            "fax_number": "330-864-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO MENTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "KLACO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "STATE ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "330-864-5895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.