Organization Active NPI

Heuristics Supported Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Toledo, OH
National Provider Identifier
1366298648
Registry record updated Apr 26, 2024
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
HEURISTICS SUPPORTED LIVING LLC
Practice address
3950 Sunforest CT Ste 200
Toledo, OH 43623-4522
Phone
(419) 370-2695
NPI assigned
Apr 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Fontasha Powell, PHD
Title
Ceo
Phone
(314) 226-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3950 Sunforest CT Ste 200
Toledo, OH 43623-4522

Mailing address

1440 N Lake Shore Dr Apt 17a
Chicago, IL 60610-5913
Phone (314) 226-2054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1366298648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N LAKE SHORE DR APT 17A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105913",
            "telephone_number": "314-226-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 SUNFOREST CT STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234522",
            "telephone_number": "419-370-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEURISTICS SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "FONTASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-226-2054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.