Active NPI
Alpha Care LTD.
- Adult Day Care Clinic/Center
- Lorain, OH
National Provider Identifier
1376811968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 2895247
- 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, 2011
- 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. Todd Wayne Roby, RN
- Title
- Ceo
- Phone
- (440) 225-8402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2895247 | Medicaid | OH | |
| 4702094 | Other | OH | DODD CONTRACTOR NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.