Independence of Portage County, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

INDEPENDENCE OF PORTAGE COUNTY, INC.

Practice address

126 E Main St
Ravenna, OH 44266-3104

Phone

(330) 296-2851

Fax

(330) 296-8631

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anna Barrett

Title

Executive Director

Phone

(330) 296-2851

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paths to Independence, Inc. Other name

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1801948567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663129",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663104",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE OF PORTAGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-296-2851",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMR LICENSE",
            "identifier": "6700190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paths to Independence, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Hunt
• Paula K Hurt Heritage
• Angela Marie Huth
• Melanie Ianni
• Toni Rose Impiccini
• Independence of Portage County, Inc.
• Stephany Indorf, PA-C
• Marisa Irwin, RN
• Charla L Jackson
• Joan Ellen Jacob, R.N.

• Developmentally Disabled Services Day Training Agency in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.