Organization Active NPI

Thompson Enterprises Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
National Provider Identifier
1497128367
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13528 Issued in OH
Legal business name
THOMPSON ENTERPRISES INC.
Practice address
238 S Meridian Rd
Youngstown, OH 44509-2925
Phone
(330) 318-3436
Fax
(330) 319-8800
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Mr. Dewayne Thompson Sr., M.S.
Title
President/Ceo
Phone
(330) 318-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 13528 OH Primary

Addresses

Primary practice location

238 S Meridian Rd
Youngstown, OH 44509-2925

Mailing address

238 S Meridian Rd
Youngstown, OH 44509-2925
Phone (330) 318-3436

Other identifiers 1

IdentifierTypeStateIssuer
0098581MedicaidOH

Other names 1

  • Youth Intensive Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170407000946 OH Part B Supplier - Clinic/Group Practice 2264718188 Receives reassigned benefits from 3 practitioners
Practice locations: Youngstown, OH

National Provider Directory

National Provider Directory

Locations

238 S Meridian Rd
Youngstown, OH 44509
Phone (330) 318-3436

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1497128367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092925",
            "telephone_number": "330-318-3436",
            "fax_number": "330-319-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 S MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092925",
            "telephone_number": "330-318-3436",
            "fax_number": "330-319-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-318-3436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "13528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Intensive Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.