Organization Active NPI

Kentix Developmental Health LLC

  • Nursing Care Agency
  • Cuyahoga Falls, OH
National Provider Identifier
1902294994
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
KENTIX DEVELOPMENTAL HEALTH LLC
Practice address
113 Portage TRL
Cuyahoga Falls, OH 44221-3221
Phone
(330) 949-0131
Fax
(234) 208-9894
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Jennifer Spitaleri, AS,BA,MS
Title
Ceo
Phone
(330) 949-0131

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
Adult Care Home Facility 311ZA0620X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

113 Portage TRL
Cuyahoga Falls, OH 44221-3221

Mailing address

3439 Atterbury St
Cuyahoga Falls, OH 44221-1115
Phone (330) 949-0131

National Provider Directory

National Provider Directory

Locations

113 Portage Trl
Cuyahoga Falls, OH 44221
Phone (330) 949-0131

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1902294994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 ATTERBURY ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211115",
            "telephone_number": "330-949-0131",
            "fax_number": "234-208-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213221",
            "telephone_number": "330-949-0131",
            "fax_number": "234-208-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTIX DEVELOPMENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "SPITALERI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-949-0131",
        "authorized_official_credential": "AS,BA,MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.