NPIMap

Organization Active NPI

Easter Seals Northern Ohio

  • Home Health Agency
  • Broadview HTS, OH
National Provider Identifier
1245290618
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EASTER SEALS NORTHERN OHIO
Practice address
1929A E Royalton Rd
Broadview HTS, OH 44147-2809
Phone
(440) 838-0990
Fax
(440) 838-8440
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Ms. Sheila M Dunn
Title
President / Ceo
Phone
(440) 838-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1929A E Royalton Rd
Broadview HTS, OH 44147-2809

Mailing address

1929A E Royalton Rd
Broadview HTS, OH 44147-2809
Phone (440) 838-0990

Other identifiers 2

IdentifierTypeStateIssuer
0849916MedicaidOH
7700349OtherOHMEDICAID WAIVER HOMECARE

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Northern 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.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1245290618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929A E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472809",
            "telephone_number": "440-838-0990",
            "fax_number": "440-838-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929A E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472809",
            "telephone_number": "440-838-0990",
            "fax_number": "440-838-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NORTHERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "440-838-0990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0849916",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER HOMECARE",
            "identifier": "7700349",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.