Organization Active NPI

Forbes Rehab Services,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
National Provider Identifier
1346326220
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FORBES REHAB SERVICES,INC.
Practice address
181 Illinois Ave S
Mansfield, OH 44905-2825
Phone
(419) 589-7688
Fax
(419) 589-5146
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Authorized official

Name
Mr. Clayton Prescan Smeltz
Title
President/Owner
Phone
(419) 589-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

181 Illinois Ave S
Mansfield, OH 44905-2825

Mailing address

181 Illinois Ave S
Mansfield, OH 44905-2825
Phone (419) 589-7688

Other identifiers 3

IdentifierTypeStateIssuer
0770634OtherOHHOME CARE WAIVER NUMBER
0727459MedicaidOH
70045590OtherOHVENDOR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930091645 OH DME Supplier - Medical Supply Company 3375654825 Practice locations: Mansfield, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Forbes Rehab Services Inc181 Illinois Ave S, Mansfield, OH 44905-2825(419) 589-7688 Speech Generating Devices Does not accept assignmentParticipating since Jan 25, 2001

National Provider Directory

National Provider Directory

Locations

181 Illinois Ave S
Mansfield, OH 44905
Phone (419) 589-7688

49 Illinois Ave S
Mansfield, OH 44905
Phone 4195897688213

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1346326220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ILLINOIS AVE S",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052825",
            "telephone_number": "419-589-7688",
            "fax_number": "419-589-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ILLINOIS AVE S",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052825",
            "telephone_number": "419-589-7688",
            "fax_number": "419-589-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORBES REHAB SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "SMELTZ",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "PRESCAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "419-589-7688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE WAIVER NUMBER",
            "identifier": "0770634",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727459",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "70045590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.