Tarry House, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

390 Issued in OH

Legal business name

TARRY HOUSE, INC.

Practice address

564 Diagonal Rd
Akron, OH 44320-3010

Phone

(330) 253-6689

Fax

(330) 253-6680

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael S. Bullock, MSSA, LISW

Title

Executive Director

Phone

(330) 253-6689

Specialties & licenses 1

Addresses

Tax ID family

Tarry House Inc2 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.

• Tarry House Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Akron, OH
  • NPI 1902272578
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alonda Rene Brazile

  • Case Manager/Care Coordinator
  • Akron, OH
  • NPI 1700354479
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1891945549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 DIAGONAL RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203010",
            "telephone_number": "330-253-6689",
            "fax_number": "330-253-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 DIAGONAL RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443203010",
            "telephone_number": "330-253-6689",
            "fax_number": "330-253-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-253-6689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSA, LISW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia R Tarescavage, PA
• Renee P Tareshawty, MA
• Elizabeth Tarnowski, FNP
• Alyssa Marie Tarr
• Tarry House Inc
• Kristina Elizabeth Tarter
• Sarah L Tarter, M.D.
• Tocina M Tarver
• Kelsey Jolene Tasker, PA-C
• Katherine Irene Tatar, MD

• Mental Illness Community Based Residential Treatment Facility in Akron, OH
• Providers in Akron, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.