Grant Sandrock, CDCA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

143 Gougler Ave
Kent, OH 44240-2401

Phone

(330) 677-4124

Fax

(330) 677-4134

NPI assigned

Jun 10, 2022

Last updated

May 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Axess Family Services Inc

  dba AxessPointe Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Barberton, OH
  • NPI 1356604680
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1598494882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CHESTNUT ST STE 302",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663029",
            "telephone_number": "330-297-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GOUGLER AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402401",
            "telephone_number": "330-677-4124",
            "fax_number": "330-677-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 S Chestnut St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442663029",
            "country_code": "US",
            "telephone_number": "330-297-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDROCK",
        "first_name": "GRANT",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narendra N. Sahney, M.D.
• Faheem Saleem
• Desmond Sallee
• Radinka Samardzic
• Elizabeth Sampson
• Delia Premi Santiago, M.ED., LPCC
• Edlisa Santiago
• Tina L Saunders, PHD, RN, CNE,GCNS-BC
• Caley Joyce Scahill
• Ricky Scales

• Case Manager/Care Coordinator in Kent, OH
• Providers in Kent, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.