NPIMap

Organization Active NPI

Shelter Care, Inc.

  • Community/Behavioral Health Agency
  • Tallmadge, OH
National Provider Identifier
1881973030
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0670 Issued in OH
Legal business name
SHELTER CARE, INC.
Practice address
32 South Ave
Tallmadge, OH 44278-2802
Phone
(330) 630-5600
Fax
(330) 630-5810
NPI assigned
Aug 5, 2011
Last updated
Aug 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Dr. Wesley D Fair, PH.D.
Title
Executive Director
Phone
(330) 630-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0670 OH
Community/Behavioral Health Agency 251S00000X 0670 OH Primary

Addresses

Primary practice location

32 South Ave
Tallmadge, OH 44278-2802

Mailing address

32 South Ave
Tallmadge, OH 44278-2802
Phone (330) 630-5600

National Provider Directory

National Provider Directory

Locations

32 South Ave
Tallmadge, OH 44278
Phone (330) 630-5600

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1881973030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782802",
            "telephone_number": "330-630-5600",
            "fax_number": "330-630-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782802",
            "telephone_number": "330-630-5600",
            "fax_number": "330-630-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-630-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0670",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.