Active NPI
Equal Opportunity Housing, LLC
Doing business as Bridlewood Home
- Intellectual Disabilities Intermediate Care Facility
- Geneva, OH
National Provider Identifier
1669849584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Bridlewood Home
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Celebration Home
- Intellectual Disabilities Intermediate Care Facility
- Geneva, OH
- NPI 1043564768
-
dba Victory House
- Intellectual Disabilities Intermediate Care Facility
- Geneva, OH
- NPI 1275887713
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
- Nicole Edgell, LISW-S
- Bonnie L Eidens, MSSA, LISW, CEAP
- Eileen M Leininger PHD Inc
- Equal Opportunity Housing, LLC (Celebration Home)
- Equal Opportunity Housing, LLC (Victory House)
- Anna Fedorko, LPN
- Gabriella Anna Fernandez
- FHS Pine Grove, Inc. (Pine Grove Healthcare Center)
- Patricia Jane Fink
- Jessica Flowers, PA-C
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.