Organization Active NPI

Care Assisted Living

  • Developmentally Disabled Services Day Training Agency
  • Cleveland, OH
National Provider Identifier
1457793796
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1818779 Issued in OH
Legal business name
CARE ASSISTED LIVING
Practice address
15726 Holmes Ave
Cleveland, OH 44110-2448
Phone
(216) 249-5590
Fax
(216) 862-5211
NPI assigned
Jul 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Ms. Debra R Hart, DIRECTOR
Title
Ceo
Phone
(216) 246-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1818779 OH Primary

Addresses

Primary practice location

15726 Holmes Ave
Cleveland, OH 44110-2448

Mailing address

11470 Euclid Ave Ste 258
Cleveland, OH 44106-3934
Phone (216) 249-5590

Other identifiers 1

IdentifierTypeStateIssuer
0075796MedicaidOH

National Provider Directory

National Provider Directory

Locations

11470 Euclid Ave
Ste 258
Cleveland, OH 44106

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1457793796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11470 EUCLID AVE STE 258",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441063934",
            "telephone_number": "216-249-5590",
            "fax_number": "216-862-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15726 HOLMES AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102448",
            "telephone_number": "216-249-5590",
            "fax_number": "216-862-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-246-5590",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "1818779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075796",
            "state": "OH"
        }
    ],
    "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 Jul 29, 2013; 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.