Organization Active NPI

Western Reserve Area Agency on Aging

  • Case Manager/Care Coordinator
  • Cleveland, OH
National Provider Identifier
1457628083
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
WESTERN RESERVE AREA AGENCY ON AGING
Practice address
1700 E 13TH St Ste 114
Cleveland, OH 44114-3285
Phone
(216) 621-0303
Fax
(216) 621-7171
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Christopher T. Hall, CPA
Title
Chief Financial Officer
Phone
(216) 621-0303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1700 E 13TH St Ste 114
Cleveland, OH 44114-3285

Mailing address

1700 E 13TH St Ste 114
Cleveland, OH 44114-3285
Phone (216) 621-0303

National Provider Directory

National Provider Directory

Locations

1700 E 13th St
Ste 114
Cleveland, OH 44114
Phone (216) 539-9239

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1457628083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST STE 114",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143285",
            "telephone_number": "216-621-0303",
            "fax_number": "216-621-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E 13TH ST STE 114",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143285",
            "telephone_number": "216-621-0303",
            "fax_number": "216-621-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "216-621-0303",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.