Organization Active NPI

Enrichment Center Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Warren, OH
National Provider Identifier
1578608303
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7810935 Issued in OH
Legal business name
ENRICHMENT CENTER INC.
Practice address
2035 Van Wye St SE
Warren, OH 44484-5349
Phone
(330) 369-2137
Fax
(330) 369-1144
NPI assigned
Feb 20, 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
Mr. Gerald S. Wesley
Title
Executive Director
Phone
(330) 369-2137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7810935 OH Primary

Addresses

Primary practice location

2035 Van Wye St SE
Warren, OH 44484-5349

Mailing address

2035 Van Wye St SE - P.O. Box 2357
Warren, OH 44484-5349
Phone (330) 369-2137

Other identifiers 1

IdentifierTypeStateIssuer
0415429MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Enrichment Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578608303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 VAN WYE ST SE - P.O. BOX 2357",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845349",
            "telephone_number": "330-369-2137",
            "fax_number": "330-369-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 VAN WYE ST SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845349",
            "telephone_number": "330-369-2137",
            "fax_number": "330-369-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-369-2137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "7810935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, 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.