Provider Type Icon

SUPPORTCARE NPI 1366519449


NPI Information

NPI: 1366519449
Provider Name: SUPPORTCARE
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
22021 BROOKPARK RD
STE 123
FAIRVIEW PARK, OH
ZIP 44126
Phone: (440) 614-0160
Get Directions

SUPPORTCARE is a day training developmentally disabled services in Fairview Park, OH. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. SUPPORTCARE NPI is 1366519449. The provider is registered as an organization entity type.

The provider's business location address is:

22021 BROOKPARK RD
STE 123
FAIRVIEW PARK, OH
ZIP 44126-100
Phone: (440) 614-0160
Fax: (440) 614-0168

The provider's authorized official is Brian Colleran .
The authorized official title is President and has the following contact phone number (440) 614-0160.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 1/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled Services4501766OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14500552MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.