Organization Active NPI

Welcome House - Waiver Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Westlake, OH
National Provider Identifier
1346848967
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1802802OtherOHWAIVER PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Welcome House Inc2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.