Organization Active NPI

Equal Opportunity Housing, LLC

Doing business as Bridlewood Home

  • Intellectual Disabilities Intermediate Care Facility
  • Geneva, OH
National Provider Identifier
1669849584
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
EQUAL OPPORTUNITY HOUSING, LLC
Doing business as
Bridlewood Home
Practice address
1070 Millwood Dr
Geneva, OH 44041-7787
Phone
(440) 466-1079
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mr. James E. Miller III
Title
President
Phone
(440) 466-1818

Specialties & licenses 1

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

Addresses

Primary practice location

1070 Millwood Dr
Geneva, OH 44041-7787

Mailing address

PO Box 69
Geneva, OH 44041-0069
Phone (440) 466-1079

Other names 1

  • Bridlewood Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridlewood Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1669849584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440410069",
            "telephone_number": "440-466-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 MILLWOOD DR",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440417787",
            "telephone_number": "440-466-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUAL OPPORTUNITY HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-466-1818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridlewood Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.