Active NPI
Enhance Ability, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Medina, OH
National Provider Identifier
1437633765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ENHANCE ABILITY, LLC
- Practice address
- 33838 Neff Rd
Medina, OH 44256-9303 - Phone
- (330) 591-1105
- NPI assigned
- Sep 21, 2018
- 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
- Melissa Kucera
- Title
- Ceo
- Phone
- (330) 591-1105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
33838 Neff Rd
Medina, OH 44256-9303
Mailing address
33838 Neff Rd
Medina, OH 44256-9303
Phone (330) 591-1105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0254595 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537488000000",
"number": "1437633765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33838 NEFF RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569303",
"telephone_number": "330-591-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33838 NEFF RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569303",
"telephone_number": "330-591-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCE ABILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A",
"authorized_official_last_name": "KUCERA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-591-1105"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0254595",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.