Edu-at-Tech, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20799 Issued in OH

Legal business name

EDU-AT-TECH, LLC

Practice address

7102 Wakefield Ave
Cleveland, OH 44102-2972

Phone

(216) 217-0561

NPI assigned

Jan 15, 2013

Organization subpart

Yes

Parent organization

EDU-AT-TECH, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Aries Nichelle Cobb, PH.D.

Title

Director

Phone

(216) 217-0561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Educational Assistive Technology, LLC Doing business as

Tax ID family

Edu-at-Tech LLC2 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.

• Edu-at-Tech, LLC

  • Speech-Language Pathologist
  • Cleveland, OH
  • NPI 1104165521
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Edu-at-Tech, LLC

  • Behavior Analyst
  • University Heights, OH
  • NPI 1437443140
  NPPES parent name

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1679810386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91666",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441013666",
            "telephone_number": "216-217-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 WAKEFIELD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022972",
            "telephone_number": "216-217-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDU-AT-TECH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDU-AT-TECH, LLC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ARIES",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-217-0561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "20799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Educational Assistive Technology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Edmondson
• Yvonneda Winifred-Rose Edmondson, CDCA II
• Margaret A Edmunds
• Shomari Edoja-Troy
• Edu-at-Tech, LLC
• Educational Service Center of Cuyahoga County
• Edward J. Floyd DPM
• Edward Y.Jimenez D.D.S. Inc
• Tara Ranita Edwards-Coleman, RN
• Karen Edwards-Sancho, QMHA-MA

• Durable Medical Equipment & Medical Supplies in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.