Active NPI
Welcome House - Waiver Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Westlake, OH
National Provider Identifier
1346848967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- WELCOME HOUSE - WAIVER SERVICES
- Practice address
- 802 Sharon Dr Ste a
Westlake, OH 44145-1539 - Phone
- (440) 356-2330
- NPI assigned
- Oct 15, 2020
- Organization subpart
- Yes
- Parent organization
- WELCOME HOUSE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony R Thomas
- Title
- Executive Director
- Phone
- (440) 356-2330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
802 Sharon Dr Ste a
Westlake, OH 44145-1539
Mailing address
802 Sharon Dr Ste a
Westlake, OH 44145-1539
Phone (440) 356-2330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802802 | Other | OH | WAIVER PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Welcome House Inc
- Part of
- Welcome House Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Westlake, OH
- NPI 1992914998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602720000000",
"number": "1346848967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 SHARON DR STE A",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441451539",
"telephone_number": "440-356-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 SHARON DR STE A",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441451539",
"telephone_number": "440-356-2330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELCOME HOUSE - WAIVER SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WELCOME HOUSE, INC.",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "440-356-2330"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAIVER PROVIDER NUMBER",
"identifier": "1802802",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.