Active NPI
Array Inc
- Developmentally Disabled Services Day Training Agency
- Massillon, OH
National Provider Identifier
1972287589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ARRAY INC
- Practice address
- 280 Federal Ave NW
Massillon, OH 44647-5469 - Phone
- (330) 880-5558
- Fax
- (330) 880-5559
- NPI assigned
- Jun 14, 2023
- 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
- Jaqualla D Boler, LPN
- Title
- Doo
- Phone
- (330) 880-5558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
280 Federal Ave NW
Massillon, OH 44647-5469
Mailing address
280 Federal Ave NW
Massillon, OH 44647-5469
Phone (330) 880-5558
National Provider Directory
National Provider DirectoryLocations
280 Federal Ave NW
Massillon, OH 44647
Phone (330) 880-5558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1972287589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 FEDERAL AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446475469",
"telephone_number": "330-880-5558",
"fax_number": "330-880-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 FEDERAL AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446475469",
"telephone_number": "330-880-5558",
"fax_number": "330-880-5559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARRAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "BOLER",
"authorized_official_first_name": "JAQUALLA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DOO",
"authorized_official_telephone_number": "330-880-5558",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.