Your Second Family

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

0146044 Issued in OH

Legal business name

YOUR SECOND FAMILY

Practice address

6659 Pearl Rd Ste 100
Parma Heights, OH 44130-3821

Phone

(404) 558-2400

Fax

(440) 558-2346

NPI assigned

Sep 20, 2016

Organization subpart

No

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

Authorized official

Name

Megan L Erskine

Title

Program Coordinator

Phone

(440) 558-2400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Your Second Family Adult Day Care Former legal business name

Locations

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1417405341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 PEARL RD STE 100",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303821",
            "telephone_number": "404-558-2400",
            "fax_number": "440-558-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 PEARL RD STE 100",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303821",
            "telephone_number": "404-558-2400",
            "fax_number": "440-558-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SECOND FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "ERSKINE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "440-558-2400"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": "0146044",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "0146044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Second Family Adult Day Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Day Care Clinic/Center in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.