NPIMap

Organization Active NPI

Cardinal Takoda, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Fairfield, OH
National Provider Identifier
1871318592
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CARDINAL TAKODA, INC.
Doing business as
TAKODA TRAILS
Practice address
350 Kolb Dr
Fairfield, OH 45014-5357
Phone
(513) 874-0423
Fax
(513) 874-0598
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Sandy Muir
Title
VP of Government Affairs
Phone
(440) 793-2245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

350 Kolb Dr
Fairfield, OH 45014-5357

Mailing address

350 Kolb Dr
Fairfield, OH 45014-5357
Phone (513) 874-0423

Other names 1

  • TAKODA TRAILS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Takoda Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1871318592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 KOLB DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145357",
            "telephone_number": "513-874-0423",
            "fax_number": "513-874-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KOLB DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145357",
            "telephone_number": "513-874-0423",
            "fax_number": "513-874-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL TAKODA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "VP OF GOVERNMENT AFFAIRS",
        "authorized_official_telephone_number": "440-793-2245"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAKODA TRAILS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.