Mudd Made T Shirts R Village

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MUDD MADE T SHIRTS R VILLAGE

Doing business as

R Village Home Services

Practice address

3420 Franklin Ave
Toledo, OH 43608-1002

Phone

(419) 309-2719

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Tamara R RussellNPI 1093539587

Title

Director of Operations

Phone

(419) 309-2719

Specialties & licenses 1

Addresses

Other names 1

• R Village Home Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamara Renee Russell

  • Homemaker
  • Toledo, OH
  • NPI 1093539587
  NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1538845623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 FRANKLIN AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081002",
            "telephone_number": "419-309-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 FRANKLIN AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081002",
            "telephone_number": "419-309-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDD MADE T SHIRTS R VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "419-309-2719",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R Village Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MRG Associates, LLC
• Eisha Mubashir, M.D.
• Francisco Giuseppe Mucci, DDS
• Kristene Muchiarone
• Tamara Nicole Muchiarone
• Lauren E Muehlbauer, PNP-PC
• Robert Alan Muehleisen, PH.D.
• Connie J Mueller, CNP
• Emily Mueller, MA
• Phillip Mueller, DPT

• Developmentally Disabled Services Day Training Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.