Easter Seals of Mahoning Trumbull & Columbiana Counties

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EASTER SEALS OF MAHONING TRUMBULL & COLUMBIANA COUNTIES

Practice address

299 Edwards St
Youngstown, OH 44502-1504

Phone

(330) 743-1168

Fax

(330) 743-1616

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jody Klase

Title

Ceo

Phone

(330) 743-1168

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Easter Seals Other name

Tax ID family

Easterseals of Northeast Ohio3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Easterseals of Northeast Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Youngstown, OH
  • NPI 1093099178
  NPD tax ID
• Easterseals of Northeast Ohio

  • Adult Day Care Clinic/Center
  • Youngstown, OH
  • NPI 1881842664
  NPD tax ID

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1174954325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021504",
            "telephone_number": "330-743-1168",
            "fax_number": "330-743-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EDWARDS ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021504",
            "telephone_number": "330-743-1168",
            "fax_number": "330-743-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS OF MAHONING TRUMBULL & COLUMBIANA COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "KLASE",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-743-1168",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2511348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easter Seals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary J Dye
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• Carol S Eagon, LSW
• Katherine Easterday
• Eastern Medical Equip
• Eastern Medical Equipment
• Easterseals of Northeast Ohio
• Easterseals of Northeast Ohio

• Developmentally Disabled Services Day Training Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.