Organization Active NPI

W.R. Catering, Inc.

  • Home Health Agency
  • Chesterland, OH
National Provider Identifier
1609845593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2210799 Issued in OH
Legal business name
W.R. CATERING, INC.
Practice address
12550 Chillicothe Rd
Chesterland, OH 44026-2560
Phone
(440) 729-6800
Fax
(866) 319-5481
NPI assigned
Mar 14, 2006
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
Frank G Carlson, R.T. B.A.NPI 1215796008
Title
President /Owner
Phone
(440) 729-6800

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
Home Health Agency 251E00000X 2210799 OH Primary

Addresses

Primary practice location

12550 Chillicothe Rd
Chesterland, OH 44026-2560

Mailing address

11642 Aquilla Rd
Chardon, OH 44024-7927
Phone (440) 635-0202

Other identifiers 1

IdentifierTypeStateIssuer
2210799MedicaidOH

Other names 1

  • Western Reserve Catering Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Reserve Catering2 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

12550 Chillicothe Rd
Chesterland, OH 44026
Phone (440) 729-6800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609845593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11642 AQUILLA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247927",
            "telephone_number": "440-635-0202",
            "fax_number": "866-319-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 CHILLICOTHE RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262560",
            "telephone_number": "440-729-6800",
            "fax_number": "866-319-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.R. CATERING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "440-729-6800",
        "authorized_official_credential": "R.T. B.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2210799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Reserve Catering",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterland, 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.