G & D Alternative Living,Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

0800128 Issued in OH

Legal business name

G & D ALTERNATIVE LIVING,INC

Practice address

121 Charles St
Sardinia, OH 45171-9338

Phone

(937) 446-2803

NPI assigned

Dec 1, 2006

Last updated

Aug 25, 2010By 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

Mr. Gordon Fitzpatrick Sr.

Title

Administrator

Phone

(937) 446-2803

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1306914080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHARLES ST",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451719338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHARLES ST",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451719338",
            "telephone_number": "937-446-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & D ALTERNATIVE LIVING,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-446-2803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "0800128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Michelle Durham, RPH
• Ejfed (Eastern Joint Fire and EMS District)
• Leah Eldridge, RDN LD
• Dale Martin Erickson, PHARM. D.
• Tina Frye
• Sherry Lynn Gee
• Jenna Gerard, MULTISKILLED CNA
• Darcy Lynn Hamm, R.N.
• Brenda Joyce Hardyman, LPN
• Ginia Lou Johnson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sardinia, OH
• Providers in Sardinia, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.