Active NPI
Society for Rehabilitation
- Developmentally Disabled Services Day Training Agency
- Mentor, OH
National Provider Identifier
1235325960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SOCIETY FOR REHABILITATION
- Practice address
- 9521 Lake Shore Blvd
Mentor, OH 44060-1613 - Phone
- (440) 352-8993
- Fax
- (440) 352-6632
- NPI assigned
- Sep 17, 2007
- 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. Richard J. Kessler
- Title
- Executive Director
- Phone
- (440) 352-8993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
9521 Lake Shore Blvd
Mentor, OH 44060-1613
Mailing address
9521 Lake Shore Blvd
Mentor, OH 44060-1613
Phone (440) 352-8993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1408560 | Medicaid | OH | |
| 2688873 | Other | OH | DAY HABILITATION |
National Provider Directory
National Provider Directory- Tax ID family
- Society for Rehabilitation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapy Assistant
- Mentor, OH
- NPI 1730215823
-
- Physical Therapist
- Mentor, OH
- NPI 1780719013
Locations
9521 Lake Shore Blvd
Mentor, OH 44060
Phone (440) 352-8993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235001600000",
"number": "1235325960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9521 LAKE SHORE BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601613",
"telephone_number": "440-352-8993",
"fax_number": "440-352-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9521 LAKE SHORE BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440601613",
"telephone_number": "440-352-8993",
"fax_number": "440-352-6632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIETY FOR REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2009-02-19",
"status": "A",
"authorized_official_last_name": "KESSLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "440-352-8993",
"authorized_official_name_prefix": "Mr."
},
"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": "1408560",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAY HABILITATION",
"identifier": "2688873",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.