INDEPENDENT PROVIDER NPI 1033650163

NPI Information

  • NPI: 1033650163
  • Provider Name: INDEPENDENT PROVIDER
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 288 E 248TH ST
    EUCLID, OH
    ZIP 44123
  • Phone: (216) 303-4144

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NPI Details

INDEPENDENT PROVIDER is a community based residential treatment facility, intellectual and/or developmental disabilities in Euclid, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INDEPENDENT PROVIDER NPI is 1033650163. The provider is registered as an organization entity type.

The provider's business location address is:

288 E 248TH ST
EUCLID, OH
ZIP 44123-437
Phone: (216) 303-4144

The provider's authorized official is L'oreal Trigg .
The authorized official title is Lpn and has the following contact phone number (216) 303-4144.

The enumeration date for this NPI number is 3/8/2017 and was last updated on 3/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesSP841892OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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