A1 Supportive Living Agency

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

A1 SUPPORTIVE LIVING AGENCY

Practice address

2614 W Central Ave
Toledo, OH 43606-3547

Phone

(419) 699-6769

NPI assigned

Dec 5, 2023

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shawanda JohnsonNPI 1093492696

Title

Owner

Phone

(419) 699-6769

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawanda Johnson

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1093492696
  NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1982471587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70651",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436070651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063547",
            "telephone_number": "419-699-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 SUPPORTIVE LIVING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-699-6769",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Unique Impact
• A Woman's Answer
• A Woman's Place Inc.
• A Womans Answer LLC
• A Wyse Choice Home Care LLC (A Wyse Choice Home Care)
• A1C Diabetic Education Inc
• A1Transitllc (A1Transtitllc)
• A4 of Ohio, LLC
• Matthew Goodman Aagesen, MD
• Aakdds II Inc (Sylvania Smile Design)

• Assisted Living Facility (Behavioral Disturbances) in Toledo, OH
• Providers in Toledo, OH by specialty
• Assisted Living Facility (Behavioral Disturbances) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.