Organization Active NPI

Portage County Children'S Service Center

  • Public Health or Welfare Agency
  • Ravenna, OH
National Provider Identifier
1487918348
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
SP5258 Issued in OH
Legal business name
PORTAGE COUNTY CHILDREN'S SERVICE CENTER
Practice address
520 N Chestnut St
Ravenna, OH 44266-2218
Phone
(330) 296-5552
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Chuck Tuttle
Title
Ceo
Phone
(330) 296-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X SP5258 OH Primary

Addresses

Primary practice location

520 N Chestnut St
Ravenna, OH 44266-2218

Mailing address

520 N Chestnut St
Ravenna, OH 44266-2218
Phone (330) 296-5552

National Provider Directory

National Provider Directory
Tax ID family
Children'S Advantage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1487918348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662218",
            "telephone_number": "330-296-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662218",
            "telephone_number": "330-296-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE COUNTY CHILDREN'S SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-296-5552"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": "SP5258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.