EDWIN SHAW REHAB LLC NPI 1821184326

NPI Information

NPI: 1821184326
Provider Name: EDWIN SHAW REHAB LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
330 BROADWAY ST E
CUYAHOGA FALLS, OH
ZIP 44221
Phone: (330) 784-1271
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EDWIN SHAW REHAB LLC is a rehabilitation and substance use disorder clinic center in Cuyahoga Falls, OH. EDWIN SHAW REHAB LLC NPI is 1821184326. The provider is registered as an organization entity type.

The provider's business location address is:

330 BROADWAY ST E
CUYAHOGA FALLS, OH
ZIP 44221-312
Phone: (330) 784-1271

The provider's authorized official is Cindy Hoyt .
The authorized official title is Director-pt Financial Services and has the following contact phone number (330) 344-2032.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/26/2010.

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	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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
1	000000360929	OTHER	OHIO	ANTHEM BLUE CROSS
2	=========003	OTHER	OHIO	MEDICAL MUTUTAL OF OHIO
3	100098	OTHER	OHIO	QUALCHOICE
4	360241	MEDICARE ID-TYPE UNSPECIFIED	OHIO
5	2600751	MEDICAID	OHIO

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

NPI Synchronization or Removal

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