Active NPI
My Choice, LLC
- Developmentally Disabled Services Day Training Agency
- Cleveland, OH
National Provider Identifier
1215523790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MY CHOICE, LLC
- Practice address
- 12900 Snow Rd
Cleveland, OH 44130-1012 - Phone
- (133) 024-2627
- NPI assigned
- Dec 18, 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
- Brittany Matisak
- Title
- Program Director
- Phone
- (330) 242-6272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
12900 Snow Rd
Cleveland, OH 44130-1012
Mailing address
1860 Mattingly Rd
Hinckley, OH 44233-9426
Phone (330) 242-6272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170814 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
12900 Snow Rd
Parma, OH 44130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608249600000",
"number": "1215523790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 MATTINGLY RD",
"city": "HINCKLEY",
"state": "OH",
"postal_code": "442339426",
"telephone_number": "330-242-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 SNOW RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441301012",
"telephone_number": "133-024-2627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY CHOICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-17",
"status": "A",
"authorized_official_last_name": "MATISAK",
"authorized_official_first_name": "BRITTANY",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "330-242-6272"
},
"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": "0170814",
"state": "OH"
}
],
"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 Dec 18, 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.