Sue's Loving Grace LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SUE'S LOVING GRACE LLC

Doing business as

Sue's Loving Grace

Practice address

3295 Rohrer Rd
Wadsworth, OH 44281-8313

Phone

(440) 610-3504

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan DawsonNPI 1194432666

Title

Director of Operations

Phone

(440) 610-3504

Specialties & licenses 1

Addresses

Other names 1

• Sue's Loving Grace Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Dawson, DOO

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wadsworth, OH
  • NPI 1194432666

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1750098273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 ROHRER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818313",
            "telephone_number": "440-610-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 ROHRER RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818313",
            "telephone_number": "440-610-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE'S LOVING GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "440-610-3504"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sue's Loving Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly E Stevens, CCC-SLP
• Scott Allen Stickney Jr., FNP-BC
• Jennifer E. Stiles, IMFT, LPC
• Jacqueline Storey, LSW
• Michael Subichin, M.D.
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• Summa Physicians LLC (Summa Health Medical Group)
• Summa Physicians LLC (Summa Health Medical Group)
• Summa Physicians LLC (Summa Health Medical Group)
• Summa Physicians LLC (Summa Health Medical Group)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.