Organization Active NPI

Goal Digital Academy

  • Local Education Agency (LEA)
  • Ontario, OH
National Provider Identifier
1811474752
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GOAL DIGITAL ACADEMY
Practice address
890 W 4TH St
Ontario, OH 44906-2565
Phone
(419) 775-4809
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Tish Jenkins, ADMINISTRATIVE LICEN
Title
Superintendent
Phone
(419) 775-4809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

890 W 4TH St
Ontario, OH 44906-2565

Mailing address

890 W 4TH St
Ontario, OH 44906-2565
Phone (419) 775-4809

National Provider Directory

National Provider Directory

Locations

890 W 4th St
Ontario, OH 44906
Phone (419) 521-9004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1811474752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062565",
            "telephone_number": "419-775-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062565",
            "telephone_number": "419-775-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL DIGITAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TISH",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "419-775-4809",
        "authorized_official_credential": "ADMINISTRATIVE LICEN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.