Organization Active NPI

Alexson Holdings, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mansfield, OH
National Provider Identifier
1497021182
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7010228 Issued in OH
Legal business name
ALEXSON HOLDINGS, INC.
Practice address
245 W 4TH St
Mansfield, OH 44903-1704
Phone
(419) 524-2335
Fax
(419) 524-0063
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Brian Colleran
Title
President
Phone
(440) 614-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7010228 OH Primary

Addresses

Primary practice location

245 W 4TH St
Mansfield, OH 44903-1704

Mailing address

25000 Country Club Blvd
Suite 255
North Olmsted, OH 44070-5344
Phone (440) 614-0160

Other names 1

  • Chenita Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alexson Holdings Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1497021182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 COUNTRY CLUB BLVD",
            "address_2": "SUITE 255",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705344",
            "telephone_number": "440-614-0160",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031704",
            "telephone_number": "419-524-2335",
            "fax_number": "419-524-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXSON HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-614-0160"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "7010228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chenita Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

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