Organization Active NPI

Maumee Bay Mobile Speech Services

  • Speech-Language Pathologist
  • Oregon, OH
National Provider Identifier
1609577055
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MAUMEE BAY MOBILE SPEECH SERVICES
Doing business as
Maumee Bay Mobile Speech Services
Practice address
445 Earlwood Ave Ste 108
Oregon, OH 43616-2744
Phone
(419) 504-9198
Fax
(888) 388-0893
NPI assigned
Mar 13, 2023
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Mrs. Taylor Kae E Hahn, M.A., CCC-SLPNPI 1588190557
Title
Owner, Speech-Language Pathologist
Phone
(419) 504-9198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

445 Earlwood Ave Ste 108
Oregon, OH 43616-2744

Mailing address

7010 Corduroy Rd
Oregon, OH 43616-5621
Phone (419) 356-4697

Other practice location 1

7010 Corduroy Rd
Oregon, OH 43616-5621
Phone (419) 356-4697

Other names 2

  • Maumee Bay Mobile Speech Services Doing business as
  • Maumee Bay Mobile Speech Services, LLC. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412001810 OH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446625099 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon, OH

National Provider Directory

National Provider Directory

Locations

445 Earlwood Ave
Ste 108
Oregon, OH 43616
Phone (419) 504-9198

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1609577055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 CORDUROY RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436165621",
            "telephone_number": "419-356-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 EARLWOOD AVE STE 108",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436162744",
            "telephone_number": "419-504-9198",
            "fax_number": "888-388-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 Corduroy Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436165621",
            "country_code": "US",
            "telephone_number": "419-356-4697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAUMEE BAY MOBILE SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "TAYLOR KAE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "419-504-9198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maumee Bay Mobile Speech Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maumee Bay Mobile Speech Services, LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.