Outreach MRDD Services

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

OUTREACH MRDD SERVICES

Practice address

28075 Logan Hornsmill Rd
Sugar Grove, OH 43155-9613

Phone

(740) 380-1572

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Mirada M Moreland

Title

Owner

Phone

(740) 380-1572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1477880458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28075 LOGAN HORNSMILL RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559613",
            "telephone_number": "740-380-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28075 LOGAN HORNSMILL RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559613",
            "telephone_number": "740-380-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MRDD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "MIRADA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-380-1572"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cory Reid
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• Kennedy Tolber
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• All providers in Sugar Grove, OH
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.