Active NPI
Smile Services, Inc.
- Developmentally Disabled Services Day Training Agency
- Warren, OH
National Provider Identifier
1720316292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SMILE SERVICES, INC.
- Doing business as
- The Nicholson Center
- Practice address
- 669 Mahoning Ave NW
Warren, OH 44484-2830 - Phone
- (330) 469-5444
- NPI assigned
- Nov 22, 2009
- 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
- Mr. Robert James Nicholson
- Title
- Executive Director
- Phone
- (330) 307-9806
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
669 Mahoning Ave NW
Warren, OH 44484-2830
Mailing address
669 Mahoning Ave NW
Warren, OH 44483-4607
Phone (330) 307-9806
Other names 1
- The Nicholson Center
National Provider Directory
National Provider Directory- Tax ID family
- Smile Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Columbus, OH
- NPI 1184799504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413849600000",
"number": "1720316292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444834607",
"telephone_number": "330-307-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 MAHONING AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444842830",
"telephone_number": "330-469-5444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-22",
"last_updated": "2014-10-21",
"status": "A",
"authorized_official_last_name": "NICHOLSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "330-307-9806",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Nicholson Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.