Active NPI
Ohioguidestone
- Case Management Agency
- Elyria, OH
National Provider Identifier
1881968139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 0026987
- Legal business name
- OHIOGUIDESTONE
- Practice address
- 41641 N Ridge Rd
Elyria, OH 44035-1245 - Phone
- (440) 260-6108
- Fax
- (440) 324-3225
- NPI assigned
- Mar 5, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Ben Kearney, DR.
- Title
- Clinical Director
- Phone
- (440) 260-8304
Corporate family (same tax ID) 19
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- Primary Care Clinic/Center
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- Developmental - Behavioral Pediatrics Physician
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- Community/Behavioral Health Agency
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- Health Maintenance Organization
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- Exclusive Provider Organization
- Cleveland, OH
- NPI 1801168877
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- Community/Behavioral Health Agency
- Berea, OH
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- Community/Behavioral Health Agency
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National Provider Directory
National Provider Directory- Tax ID family
- Guidestone
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 0026987 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
41641 N Ridge Rd
Elyria, OH 44035-1245
Mailing address
434 Eastland Rd.
Berea, OH 44017-2058
Phone (440) 260-8300
Other names 1
NPPES NPI Registry- Berea Children's Home & Family Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2017.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502755200000",
"number": "1881968139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND RD.",
"city": "BEREA",
"state": "OH",
"postal_code": "440172058",
"telephone_number": "440-260-8300",
"fax_number": "440-234-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41641 N RIDGE RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440351245",
"telephone_number": "440-260-6108",
"fax_number": "440-324-3225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIOGUIDESTONE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2017-08-15",
"status": "A",
"authorized_official_last_name": "KEARNEY",
"authorized_official_first_name": "BEN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "440-260-8304",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DR."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": "0026987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Berea Children's Home & Family Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.