Erie Residential Living, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ERIE RESIDENTIAL LIVING, INC.

Practice address

706 E Park St
Sandusky, OH 44870-3301

Phone

(419) 626-0316

NPI assigned

May 22, 2007

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

Mrs. Donna Frost

Title

Executive Director

Phone

(419) 626-0316

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205045234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E PARK ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E PARK ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703301",
            "telephone_number": "419-626-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE RESIDENTIAL LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-626-0316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erie County Office of Auditor (Erie County General Health District)
• Erie County Senior Center
• Erie Huron Ottawa Educational Service Center
• Erie Medical Review LLC
• Erie Neurosurgery & Assoc, Inc
• Erie Shore Network, Inc.
• Erie Shores Surgery Center LLC
• Brookelyn Ernst, LSW
• Shannon Erskine
• Daniel Vicente Escovar, D.D.S.

• Developmentally Disabled Services Day Training Agency in Sandusky, OH
• Providers in Sandusky, 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 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.