Organization Active NPI

Dept. of Veteran Affairs

  • Mental Illness Community Based Residential Treatment Facility
  • Brecksville, OH
National Provider Identifier
1699086736
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DEPT. OF VETERAN AFFAIRS
Practice address
10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone
(440) 526-3030
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Mrs. Pat Jamer-Stewart
Title
Chief
Phone
(440) 526-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

10000 Brecksville Rd
Brecksville, OH 44141-3204

Mailing address

10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone (440) 526-3030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1699086736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT. OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "JAMER-STEWART",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-526-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.