Crestline Evsd

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CRESTLINE EVSD

Practice address

Crestline Evsd
401 Heiser Court
Crestline, OH 44827

Phone

(419) 683-3647

Fax

(419) 683-3647

NPI assigned

Mar 17, 2009

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Miller

Title

Treasurer

Phone

(419) 683-3647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1306087655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CRESTLINE EVSD",
            "address_2": "401 HEISER COURT",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "44827",
            "telephone_number": "419-683-3647",
            "fax_number": "419-683-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CRESTLINE EVSD",
            "address_2": "401 HEISER COURT",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "44827",
            "telephone_number": "419-683-3647",
            "fax_number": "419-683-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE EVSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "419-683-3647",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Rose Caudill, LPN
• City of Crestline (Crestline Ambulance Service)
• Alexandrea Josephine Cochran
• Amanda Jean Cochran, PHARMD
• Exxerica Conn
• Crestline Facilty Operations, LLC (Crestline Nursing Home)
• Crestline Medical Center, Inc
• Crestline Nursing Center LLC (Crestline Rehabilitation and Nursing Center)
• Crouch Enterprises, LLC
• Rickie E Crouch Sr.

• Local Education Agency (LEA) in Crestline, OH
• Providers in Crestline, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.