Coffee Caravan

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COFFEE CARAVAN

Practice address

706 Deerfield Rd
Lebanon, OH 45036-2444

Phone

(513) 680-2640

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Mark Titmas

Title

President/Doo

Phone

(513) 680-2640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1841022720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DEERFIELD RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450362444",
            "telephone_number": "513-680-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DEERFIELD RD",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450362444",
            "telephone_number": "513-680-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE CARAVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "TITMAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/DOO",
        "authorized_official_telephone_number": "513-680-2640"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Sachiko-Koenig Clement, RPH
• Marie Julie Clendenen, PCC
• Cleveland Medical Management LLC
• Julie Clymer, SLP
• Nancy A Cochran
• Laura Coffey, RN
• Angela Jeanne Cole, MA, CCC-SLP
• Christian Cole
• Ellen Pearson Cole, PT DPT
• Ryan Michol Combs

• Developmentally Disabled Services Day Training Agency in Lebanon, OH
• Providers in Lebanon, 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 Aug 19, 2024; 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.