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

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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