Easter Seals Northern Ohio

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EASTER SEALS NORTHERN OHIO

Practice address

1907 Croghan St
Fremont, OH 43420-2762

Phone

(800) 589-6834

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Lauren E Holly

Title

Chief Operating Officer

Phone

(234) 417-0250

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Easter Seals Northern Ohio

  • Home Health Agency
  • Broadview HTS, OH
  • NPI 1245290618
  NPD tax ID
• Easter Seals Northern Ohio

  • Speech-Language Pathologist
  • Broadview HTS, OH
  • NPI 1871552505
  NPD tax ID

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1245809904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232128",
            "telephone_number": "234-417-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 CROGHAN ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202762",
            "telephone_number": "800-589-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NORTHERN OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "234-417-0250"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272790912",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fremont",
            "affiliation": "N",
            "address_1": "1907 Croghan St",
            "city": "Fremont",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434202762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr Harry Burger LLC
• Dr. Winder and Associates
• George Russell Dupey
• Brittney Durbing, COTA
• Pamela Ann Dymond, NP-C
• Ninfa Ofelia Eberly, CDCA
• Lisa Ann Ebert, CNP
• Philip A. Edgar, M.D.
• Linda Edmonds, OT
• Ashley Edwards

• Adult Day Care Clinic/Center in Fremont, OH
• Providers in Fremont, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.