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FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED NPI 1427013556


NPI Information

NPI: 1427013556
Provider Name: FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
695 SOUTH STREET
SUITE 6
CHARDON, OH
ZIP 44024
Phone: (440) 286-1553
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FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED is a community behavioral health in Chardon, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY PRIDE OF NORTHEAST OHIO INCORPORATED NPI is 1427013556. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

695 SOUTH STREET
SUITE 6
CHARDON, OH
ZIP 44024
Phone: (440) 286-1553
Fax: (440) 286-1318

The provider's authorized official is Angela L. Daugherty .
The authorized official title is Executive Director and has the following contact phone number (440) 286-1553.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 5/25/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalI 004456OHIONo
21041C0700XSocial WorkerClinicalOHIONo
3251S00000XCommunity/Behavioral Health010590OHIOYes

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
1590OTHEROHIOOHIO DEPARTMENT OF MENTAL

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: 11/14/2023

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