Small Oak Tree House LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SMALL OAK TREE HOUSE LLC

Practice address

1115 E 145TH St
Cleveland, OH 44110-3605

Phone

(216) 324-8252

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Pamela D WilliamsNPI 1306466099

Title

Ceo

Phone

(216) 324-8252

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Pamela D Williams

  • Home Health Aide
  • Cleveland, OH
  • NPI 1306466099
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1558931972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 145TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103605",
            "telephone_number": "216-324-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 145TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103605",
            "telephone_number": "216-324-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL OAK TREE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-324-8252"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO CERTIFICATE",
            "identifier": "4682470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanel Angelig Slykas, CRNA
• John Slykas, AG-ACNP
• Kathleene Anne Smachlo, M.D.
• Wendy Leah Smail, PA-C
• Alecia Smalheer
• Farralynn Small, LPN
• Georjette Small
• Karen M. Small, P.T.A.
• Sherri Small
• Taylor Devin Small, QMHS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.