Organization Active NPI

The Way Station, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • East Liverpool, OH
National Provider Identifier
1790753200
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
11155 Issued in OH
Legal business name
THE WAY STATION, INC.
Practice address
432 W Fifth St
East Liverpool, OH 43920-2467
Phone
(330) 385-7510
Fax
(330) 385-7530
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Gary M Holsopple, LISW-S
Title
Executive Director
Phone
(330) 385-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 11155 OH Primary

Addresses

Primary practice location

432 W Fifth St
East Liverpool, OH 43920-2467

Mailing address

769 Springfield Rd
PO Box 449
Columbiana, OH 44408-9456
Phone (330) 482-5072

Other identifiers 1

IdentifierTypeStateIssuer
11155MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1790753200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 SPRINGFIELD RD",
            "address_2": "PO BOX 449",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089456",
            "telephone_number": "330-482-5072",
            "fax_number": "330-482-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 W FIFTH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202467",
            "telephone_number": "330-385-7510",
            "fax_number": "330-385-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAY STATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HOLSOPPLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-385-7510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OH",
            "license": "11155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.