Chardon Township

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020379250 Issued in OH

Legal business name

CHARDON TOWNSHIP

Practice address

110 S Hambden St
Chardon, OH 44024-1219

Phone

(440) 286-3711

Fax

(440) 286-1941

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Sivula

Title

Fiscal Officer

Phone

(440) 479-9692

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• CHARDON FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1124195839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 MENTOR RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249601",
            "telephone_number": "440-285-3711",
            "fax_number": "440-286-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S HAMBDEN ST",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241219",
            "telephone_number": "440-286-3711",
            "fax_number": "440-286-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARDON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SIVULA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "440-479-9692"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020379250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020379250",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2741377",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00172918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDMUTUAL",
            "identifier": "34000585002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OOOOOO297437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARDON FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chardon Family Eyecare LLC
• Chardon Fire Department Inc
• Chardon Integrated Wellness Center, LLC
• Chardon Local School District
• Chardon Physical Therapy LLC
• Chardon Woods of Journey LLC
• Charles Cassady, M.D., Inc.
• Bernadette M Charles, LISW LICDC
• Christina M Charlillo, LISW
• Kevin Michael Chartrand, M.D.

• Ambulance in Chardon, OH
• Providers in Chardon, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.