NPIMap

Organization Active NPI

Cardinal Takoda, Inc.

Doing business as John Gray Home

  • Intellectual Disabilities Intermediate Care Facility
  • Cincinnati, OH
National Provider Identifier
1669242046
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CARDINAL TAKODA, INC.
Doing business as
John Gray Home
Practice address
2049 John Gray Rd
Cincinnati, OH 45240-1059
Phone
(440) 793-2245
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Joe Altieri
Title
President
Phone
(330) 936-7158

Specialties & licenses 1

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

Addresses

Primary practice location

2049 John Gray Rd
Cincinnati, OH 45240-1059

Mailing address

2049 John Gray Rd
Cincinnati, OH 45240-1059
Phone (440) 793-2245

Other names 1

  • JOHN GRAY HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Takoda Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1669242046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 JOHN GRAY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401059",
            "telephone_number": "440-793-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 JOHN GRAY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401059",
            "telephone_number": "440-793-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL TAKODA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ALTIERI",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-936-7158"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN GRAY HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.