NPIMap

Organization Active NPI

Paths to Independence, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ravenna, OH
National Provider Identifier
1891947875
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
13500 Issued in OH
Legal business name
PATHS TO INDEPENDENCE, INC.
Practice address
4771 Washington Ave
Ravenna, OH 44266-9631
Phone
(330) 296-2851
Fax
(330) 296-8631
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Anna Barrett
Title
Executive Director
Phone
(330) 296-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 13500 OH Primary

Addresses

Primary practice location

4771 Washington Ave
Ravenna, OH 44266-9631

Mailing address

161 E Main St
Ravenna, OH 44266-3129
Phone (330) 296-2851

Other identifiers 2

IdentifierTypeStateIssuer
13500OtherOHMR LICENSE NUMBER
2439294MedicaidOH

Other names 1

  • Paths to Independence - Washington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Independence of Portage County Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4771 Washington Ave
Ravenna, OH 44266
Phone (330) 296-2384

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1891947875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663129",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 WASHINGTON AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442669631",
            "telephone_number": "330-296-2851",
            "fax_number": "330-296-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHS TO INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-296-2851"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "13500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MR LICENSE NUMBER",
            "identifier": "13500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paths to Independence - Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.