Organization Active NPI

Toni Gamble

  • Physical Disabilities Residential Treatment Facility
  • Cleveland, OH
National Provider Identifier
1144470634
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
130161 Issued in OH
Legal business name
TONI GAMBLE
Practice address
3545 E 105TH St
Cleveland, OH 44105-1815
Phone
(216) 441-4585
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Ms. Toni Tekila Gamble, LPN
Title
Licensed Practictio
Phone
(216) 441-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 130161 OH Primary

Addresses

Primary practice location

3545 E 105TH St
Cleveland, OH 44105-1815

Mailing address

3545 E 105TH St
Cleveland, OH 44105-1815
Phone (216) 441-4585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1144470634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 E 105TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051815",
            "telephone_number": "216-441-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 E 105TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051815",
            "telephone_number": "216-441-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI GAMBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "TEKILA",
        "authorized_official_title_or_position": "LICENSED PRACTICTIO",
        "authorized_official_telephone_number": "216-441-4585",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "OH",
            "license": "130161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.