Active NPI
Alta Care Group, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
National Provider Identifier
1215905385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 0222
- Legal business name
- ALTA CARE GROUP, INC.
- Practice address
- 711 Belmont Ave.
Youngstown, OH 44502-1039 - Phone
- (330) 793-2487
- Fax
- (330) 743-5748
- NPI assigned
- Mar 14, 2006
- 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. Jospeh J Shorokey, LPCC-S
- Title
- Executive Director
- Phone
- (330) 793-2487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0222 | OH | Primary |
Addresses
Primary practice location
711 Belmont Ave.
Youngstown, OH 44502-1039
Mailing address
711 Belmont Ave.
Youngstown, OH 44502-1039
Phone (330) 793-2487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846657 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Alta Care Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Youngstown, OH
- NPI 1134777360
-
- In Home Supportive Care Agency
- Youngstown, OH
- NPI 1275495897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1215905385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BELMONT AVE.",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021039",
"telephone_number": "330-793-2487",
"fax_number": "330-743-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BELMONT AVE.",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021039",
"telephone_number": "330-793-2487",
"fax_number": "330-743-5748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA CARE GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "SHOROKEY",
"authorized_official_first_name": "JOSPEH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "330-793-2487",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPCC-S"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "OH",
"license": "0222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846657",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.