Origen Better.LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

305R00000X Issued in OH

Legal business name

ORIGEN BETTER.LLC

Practice address

1200 S Union Ave
None
Alliance, OH 44601-4021

Phone

(330) 000-0001

Fax

(330) 000-0003

NPI assigned

Dec 10, 2010

Organization subpart

Yes

Parent organization

NONEAs reported in NPPES

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

Authorized official

Name

Ms. Tralada W Purnell, MINISTER

Title

Chaplain

Phone

(330) 000-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Former legal business name

Part of

Origen Betterllc

Locations

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1457654568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S UNION AVE",
            "address_2": "NONE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014021",
            "telephone_number": "330-000-0001",
            "fax_number": "330-000-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S UNION AVE",
            "address_2": "NONE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014021",
            "telephone_number": "330-000-0001",
            "fax_number": "330-000-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGEN BETTER.LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NONE",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "TRALADA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHAPLAIN",
        "authorized_official_telephone_number": "330-000-0001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MINISTER"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "305R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Preferred Provider Organization in Alliance, OH
• Providers in Alliance, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.