NPIMap

Organization Active NPI

New Avenues to Independence, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Madison, OH
National Provider Identifier
1508080680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
9483 Issued in OH
Legal business name
NEW AVENUES TO INDEPENDENCE, INC.
Practice address
5051 S Ridge Rd
Madison, OH 44057-9709
Phone
(216) 481-1909
Fax
(216) 481-2050
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas M Lewins
Title
Executive Director
Phone
(216) 481-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 9483 OH Primary

Addresses

Primary practice location

5051 S Ridge Rd
Madison, OH 44057-9709

Mailing address

17608 Euclid Ave
Cleveland, OH 44112-1216
Phone (216) 481-1909

Other identifiers 1

IdentifierTypeStateIssuer
2026337MedicaidOH

Other names 1

  • New Avenues-Perry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Avenues to Independence Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5051 S Ridge Rd
Madison, OH 44057

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17608 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121216",
            "telephone_number": "216-481-1909",
            "fax_number": "216-481-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 S RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579709",
            "telephone_number": "216-481-1909",
            "fax_number": "216-481-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AVENUES TO INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-481-1909"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "9483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Avenues-Perry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.