Organization Active NPI

Ethel J. Roldan Center for Cultural Awareness Inc.

  • Community/Behavioral Health Agency
  • Sandusky, OH
National Provider Identifier
1841947645
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETHEL J. ROLDAN CENTER FOR CULTURAL AWARENESS INC.
Practice address
1610 Cleveland Rd Ste 102
Sandusky, OH 44870-4374
Phone
(419) 621-1117
Fax
(419) 621-1117
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Mrs. Racquel PaceNPI 1336006675
Title
Executive Director
Phone
(419) 621-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1610 Cleveland Rd Ste 102
Sandusky, OH 44870-4374

Mailing address

1610 Cleveland Rd Ste 102
Sandusky, OH 44870-4374
Phone (419) 621-1117

National Provider Directory

National Provider Directory

Locations

1610 Cleveland Rd
Ste 102
Sandusky, OH 44870
Phone (419) 621-1117

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": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1841947645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CLEVELAND RD STE 102",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704374",
            "telephone_number": "419-621-1117",
            "fax_number": "419-621-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CLEVELAND RD STE 102",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704374",
            "telephone_number": "419-621-1117",
            "fax_number": "419-621-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEL J. ROLDAN CENTER FOR CULTURAL AWARENESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-621-1117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.