Organization Active NPI

Jazzy Kidz Daycare Center

  • Developmentally Disabled Services Day Training Agency
  • Canton, OH
National Provider Identifier
1679608335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2651849 Issued in OH
Legal business name
JAZZY KIDZ DAYCARE CENTER
Practice address
2140 Cleveland Ave NW
2212 Cleveland Ave. N.W.
Canton, OH 44709-3607
Phone
(330) 455-5175
Fax
(330) 455-5142
NPI assigned
Feb 22, 2007
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
Mrs. Trena Y Curtis
Title
Executive Director
Phone
(330) 455-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2651849 OH Primary

Addresses

Primary practice location

2140 Cleveland Ave NW
2212 Cleveland Ave. N.W.
Canton, OH 44709-3607

Mailing address

2140 Cleveland Ave NW
2212 Cleveland Ave. N.W.
Canton, OH 44709-3607
Phone (330) 455-5175

Other identifiers 1

IdentifierTypeStateIssuer
2651849MedicaidOH

National Provider Directory

National Provider Directory

Locations

2140 Cleveland Ave NW
Canton, OH 44709
Phone (330) 455-5175

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679608335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 CLEVELAND AVE NW",
            "address_2": "2212 CLEVELAND AVE. N.W.",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093607",
            "telephone_number": "330-455-5175",
            "fax_number": "330-455-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CLEVELAND AVE NW",
            "address_2": "2212 CLEVELAND AVE. N.W.",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093607",
            "telephone_number": "330-455-5175",
            "fax_number": "330-455-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZZY KIDZ DAYCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "TRENA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-455-5175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "2651849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, 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.