Active NPI
Nightingale Vespa Adapted Advantage
- Adult Day Care Clinic/Center
- Willoughby, OH
National Provider Identifier
1932705902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- NIGHTINGALE VESPA ADAPTED ADVANTAGE
- Practice address
- 37229 Euclid Ave
Willoughby, OH 44094-5661 - Phone
- (440) 487-5649
- NPI assigned
- Dec 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Vespa
- Title
- Ceo
- Phone
- (440) 487-5649
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
37229 Euclid Ave
Willoughby, OH 44094-5661
Mailing address
9759 Campton Ridge Dr
Chardon, OH 44024-8661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4302178 | Medicaid | OH |
Other names 1
- Adapted Advantage Inc
National Provider Directory
National Provider DirectoryLocations
37229 Euclid Ave
Willoughby, OH 44094
Phone (440) 487-5649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607299200000",
"number": "1932705902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9759 CAMPTON RIDGE DR",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37229 EUCLID AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440945661",
"telephone_number": "440-487-5649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIGHTINGALE VESPA ADAPTED ADVANTAGE",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "VESPA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "440-487-5649"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4302178",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adapted Advantage Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.