Organization Active NPI

The Epilepsy Center of Northwest Ohio

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Maumee, OH
National Provider Identifier
1568539690
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
4800451 Issued in OH
Legal business name
THE EPILEPSY CENTER OF NORTHWEST OHIO
Practice address
1701 Holland Rd
Maumee, OH 43537-1699
Phone
(419) 867-5950
Fax
(419) 867-5954
NPI assigned
Nov 30, 2006
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Roy J Cherry
Title
Ceo
Phone
(419) 867-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 4800451 OH Primary

Addresses

Primary practice location

1701 Holland Rd
Maumee, OH 43537-1699

Mailing address

1701 Holland Rd
Maumee, OH 43537-1699
Phone (419) 867-5950

Other practice location 1

5405 Southwyck Blvd
Suite 100
Toledo, OH 43614-1556
Phone (419) 867-5950

National Provider Directory

National Provider Directory
Tax ID family
The Epilepsy Center of Northwest Ohio2 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.

Locations

1701 Holland Rd
Maumee, OH 43537
Phone (419) 867-5950

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1568539690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371699",
            "telephone_number": "419-867-5950",
            "fax_number": "419-867-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371699",
            "telephone_number": "419-867-5950",
            "fax_number": "419-867-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Southwyck Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436141556",
            "country_code": "US",
            "telephone_number": "419-867-5950",
            "fax_number": "419-867-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE EPILEPSY CENTER OF NORTHWEST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-867-5950"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "4800451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.