Active NPI
Forbes Rehab Services,Inc.
- Durable Medical Equipment & Medical Supplies
- Mansfield, OH
National Provider Identifier
1346326220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0770634 | Other | OH | HOME CARE WAIVER NUMBER |
| 0727459 | Medicaid | OH | |
| 70045590 | Other | OH | VENDOR NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091645 | OH | DME Supplier - Medical Supply Company | 3375654825 | Practice locations: Mansfield, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Forbes Rehab Services Inc | Speech Generating Devices | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.