NPIMap

Organization Active NPI

New Avenues to Independence, Inc.

Doing business as New Avenues-Edgerton

  • Intellectual Disabilities Intermediate Care Facility
  • University Heights, OH
National Provider Identifier
1740404888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
9370 Issued in OH
Legal business name
NEW AVENUES TO INDEPENDENCE, INC.
Doing business as
New Avenues-Edgerton
Practice address
2441 Edgerton Rd
University Heights, OH 44118-4410
Phone
(216) 481-1909
Fax
(216) 481-2050
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas M Lewins
Title
Executive Director
Phone
(216) 481-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 9370 OH Primary

Addresses

Primary practice location

2441 Edgerton Rd
University Heights, OH 44118-4410

Mailing address

17608 Euclid Ave
Cleveland, OH 44112-1216
Phone (216) 481-1909

Other identifiers 1

IdentifierTypeStateIssuer
0801234MedicaidOH

Other names 1

  • New Avenues-Edgerton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740404888. Details of each certification follow.

  • CCN 36G400 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G400

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEW AVENUES - EDGERTON
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 5, 1990
Last certification
Mar 19, 2024
Beds
8
Ownership / control type
Private (non-profit)
Facility address
2441 Edgerton Rd
University Heights, OH 44118

National Provider Directory

National Provider Directory
Tax ID family
New Avenues to Independence Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740404888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17608 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121216",
            "telephone_number": "216-481-1909",
            "fax_number": "216-481-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 EDGERTON RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184410",
            "telephone_number": "216-481-1909",
            "fax_number": "216-481-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AVENUES TO INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-481-1909"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "9370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Avenues-Edgerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Heights, OH

Sources for this page

Verify at the official NPI Registry.