Active NPI
Side by Side Services LLC
- Developmentally Disabled Services Day Training Agency
- Barberton, OH
National Provider Identifier
1124620133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SIDE BY SIDE SERVICES LLC
- Practice address
- 556 5TH St NE
Barberton, OH 44203-2752 - Phone
- (330) 607-3170
- NPI assigned
- Nov 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Spadafino
- Title
- Owner
- Phone
- (330) 607-3170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
556 5TH St NE
Barberton, OH 44203-2752
Mailing address
3893 Lake Vista Rd
Coventry TWP, OH 44319-2656
Phone (330) 607-3170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210865 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
556 5th St NE
Barberton, OH 44203
Phone (330) 607-3170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1124620133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3893 LAKE VISTA RD",
"city": "COVENTRY TWP",
"state": "OH",
"postal_code": "443192656",
"telephone_number": "330-607-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "556 5TH ST NE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442032752",
"telephone_number": "330-607-3170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDE BY SIDE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "SPADAFINO",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-607-3170",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210865",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.