Active NPI
Innovations Development & Growth Services
- Developmentally Disabled Services Day Training Agency
- University HTS, OH
National Provider Identifier
1679823561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 1817163
- Legal business name
- INNOVATIONS DEVELOPMENT & GROWTH SERVICES
- Practice address
- 2259 S. Taylor Rd
University HTS, OH 44118-3436 - Phone
- (216) 832-1004
- NPI assigned
- Sep 18, 2012
- 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
- Ms. Latonya Marie Cunningham
- Title
- Ceo
- Phone
- (216) 832-1004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 1817163 | OH | Primary |
Addresses
Primary practice location
2259 S. Taylor Rd
University HTS, OH 44118-3436
Mailing address
2259 S. Taylor Rd
University HTS, OH 44118-3436
Phone (216) 832-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061797 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1679823561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 S. TAYLOR RD",
"city": "UNIVERSITY HTS",
"state": "OH",
"postal_code": "441183436",
"telephone_number": "216-832-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 S. TAYLOR RD",
"city": "UNIVERSITY HTS",
"state": "OH",
"postal_code": "441183436",
"telephone_number": "216-832-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIONS DEVELOPMENT & GROWTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "LATONYA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-832-1004",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": "1817163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061797",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in University HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.