Antonio Boyd

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

400412651004 Issued in OH

Legal business name

ANTONIO BOYD

Practice address

6200 Lee Rd S
Apt 207
Maple Heights, OH 44137-4539

Phone

(216) 239-9968

NPI assigned

Dec 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Antonio D Boyd

Title

Stna

Phone

(216) 239-9968

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1326479643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 LEE RD S",
            "address_2": "APT 207",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374539",
            "telephone_number": "216-239-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LEE RD S",
            "address_2": "APT 207",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374539",
            "telephone_number": "216-239-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO BOYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "STNA",
        "authorized_official_telephone_number": "216-239-9968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "400412651004",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "400412651004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rakaiah Eutris Armstrong
• Joseph Arnett
• August Residential Care

• All providers in Maple Heights, OH
• Adult Care Home Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.