Organization Active NPI

Concordia of Ohio

  • Rehabilitation Clinic/Center
  • Copley, OH
National Provider Identifier
1831640390
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONCORDIA OF OHIO
Practice address
970 Sumner Pkwy
Copley, OH 44321-1693
Phone
(330) 664-1000
Fax
(330) 664-1197
NPI assigned
Oct 20, 2016
Last updated
Mar 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Charlene Kish
Title
Ceo
Phone
(330) 664-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

970 Sumner Pkwy
Copley, OH 44321-1693

Mailing address

970 Sumner Pkwy
Copley, OH 44321-1693
Phone (330) 664-1000

National Provider Directory

National Provider Directory
Tax ID family
Concordia at Sumner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1831640390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SUMNER PKWY",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211693",
            "telephone_number": "330-664-1000",
            "fax_number": "330-664-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUMNER PKWY",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211693",
            "telephone_number": "330-664-1000",
            "fax_number": "330-664-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-664-1360"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.