Organization Active NPI

Alpha Care LTD.

  • Adult Day Care Clinic/Center
  • Lorain, OH
National Provider Identifier
1376811968
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
2895247 Issued in OH
Legal business name
ALPHA CARE LTD.
Practice address
205 W 20TH St
Lorain, OH 44052-3779
Phone
(440) 244-2333
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Mr. Todd Wayne Roby, RN
Title
Ceo
Phone
(440) 225-8402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 2895247 OH Primary

Addresses

Primary practice location

205 W 20TH St
Lorain, OH 44052-3779

Mailing address

12590 Baumhart Rd
Amherst, OH 44001-9773
Phone (440) 225-8402

Other identifiers 2

IdentifierTypeStateIssuer
2895247MedicaidOH
4702094OtherOHDODD CONTRACTOR NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1376811968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 BAUMHART RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440019773",
            "telephone_number": "440-225-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523779",
            "telephone_number": "440-244-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-225-8402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": "2895247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2895247",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD CONTRACTOR NUMBER",
            "identifier": "4702094",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.