NPIMap

Organization Active NPI

Family Pride of Northeast Ohio Incorporated

  • Community/Behavioral Health Agency
  • Chardon, OH
National Provider Identifier
1881049807
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12520 Issued in OH
Legal business name
FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED
Practice address
695 South St
Suite 6
Chardon, OH 44024-1474
Phone
(440) 286-1553
Fax
(440) 286-1318
NPI assigned
Apr 27, 2016
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Angela L. Daugherty, MSSA, LISWSNPI 1770761926
Title
Executive Director
Phone
(440) 286-1553

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12520 OH Primary

Addresses

Primary practice location

695 South St
Suite 6
Chardon, OH 44024-1474

Mailing address

695 South St
Suite 6
Chardon, OH 44024-1474
Phone (440) 286-1553

National Provider Directory

National Provider Directory
Tax ID family
Family Pride of Northeast Ohio2 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.

Locations

695 South St
Ste 6
Chardon, OH 44024
Phone (440) 286-1553

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1881049807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST",
            "address_2": "SUITE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 SOUTH ST",
            "address_2": "SUITE 6",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241474",
            "telephone_number": "440-286-1553",
            "fax_number": "440-286-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-286-1553",
        "authorized_official_credential": "MSSA, LISWS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "12520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

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