Organization Active NPI

Sarah Vacha Swallowing Diagnostics LLC

  • Speech-Language Pathologist
  • Tallmadge, OH
National Provider Identifier
1700488053
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SARAH VACHA SWALLOWING DIAGNOSTICS LLC
Practice address
792 Jennifer TRL
Tallmadge, OH 44278-2977
Phone
(330) 249-1212
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Sarah VachaNPI 1275844318
Title
Owner, Authorized Official
Phone
(419) 305-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

792 Jennifer TRL
Tallmadge, OH 44278-2977

Mailing address

792 Jennifer TRL
Tallmadge, OH 44278-2977
Phone (330) 249-1212

Other names 1

  • Cardinal Voice & Swallowing Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.vacha@ohioswallowingdiagnostics.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104001602 OH Part B Supplier - Clinic/Group Practice 7719390145 Receives reassigned benefits from 1 practitioner
Practice locations: Tallmadge, OH

National Provider Directory

National Provider Directory

Locations

33 North Ave
Ste 207
Tallmadge, OH 44278
Phone (330) 249-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1700488053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 JENNIFER TRL",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782977",
            "telephone_number": "330-249-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 JENNIFER TRL",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782977",
            "telephone_number": "330-249-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH VACHA SWALLOWING DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "VACHA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "419-305-3050"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.vacha@ohioswallowingdiagnostics.com",
            "affiliation": "N",
            "address_1": "792 Jennifer Trl",
            "city": "Tallmadge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442782977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cardinal Voice & Swallowing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.