Geauga County Sheriffs Office

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

GEAUGA COUNTY SHERIFFS OFFICE

Practice address

12450 Merritt Road
Chardon, OH 44024-9010

Phone

(440) 279-2009

Fax

(440) 286-3251

NPI assigned

Jun 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel C McClelland

Title

Sheriff

Phone

(440) 279-2068

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Geauga County Combined Health District2 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.

• Geauga County Health District

  • Public Health or Welfare Agency
  • Chardon, OH
  • NPI 1578692273
  NPD tax ID

Locations

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114966512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 MERRITT ROAD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249010",
            "telephone_number": "440-279-2009",
            "fax_number": "440-286-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 MERRITT ROAD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249010",
            "telephone_number": "440-279-2009",
            "fax_number": "440-286-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUGA COUNTY SHERIFFS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SHERIFF",
        "authorized_official_telephone_number": "440-279-2068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT ALCOHOL & DRUG ADDIC",
            "identifier": "3144",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Gatesman
• Thomas Gazley, PH.D.
• Geauga Anesthesia Inc
• Geauga County Educational Service Center
• Geauga County Health District
• Geauga Family Physicians, Inc
• Geauga Medical Therapy Center LLC
• Geauga Rehabilitation Engineering, Inc.
• Geauga Sleep Center
• Geauga Sports Medicine, LLC

• Children's Substance Abuse Rehabilitation Facility in Chardon, OH
• Providers in Chardon, OH by specialty
• Children's Substance Abuse Rehabilitation Facility in Ohio

• 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.