THE NORTH COAST CENTER (NPI# 1043340946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043340946 |
| Entity Type | Organization |
| Organization Name | THE NORTH COAST CENTER |
| Practice Address |
4200 Park Ave The North Coast Center Ashtabula OH 44004 |
| Mailing Address |
2250 Par Ln Apt # 723 Willoughby OH 44094-2921 |
| Practice Telephone | 4409928552 |
| Mailing Telephone | 4405161434 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAYANT S. CHOURE (PHYSICIAN) |
| Authorized Official Telephone | 4409928552 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 85719 | OH | Agencies |
| Street Address |
4200 PARK AVE THE NORTH COAST CENTER |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841692472 | Jennifer Miller | Licensed Practical Nurse | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2014-09-26 |
| 1033411889 | Michell Mcdiffett | Physician Assistant | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2010-11-30 |
| 1215182845 | Ronald Jon Seigman | Counselor | 4200 Park Ave, 2nd Fl, Ashtabula, OH 44004-6895 | 2008-11-24 |
| 1710153697 | Barbara E Padgett | Social Worker | 4200 Park Ave, Second Floor, Ashtabula, OH 44004-6895 | 2008-05-01 |
| 1275738551 | Wayne S. Knesebeck | Specialist | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-06-18 |
| 1255546081 | Janet Phyllis Fowkes | Social Worker | 4200 Park Ave, North Coast Center Floor 2, Ashtabula, OH 44004 | 2007-05-14 |
| 1801016951 | Samar Said El Sayegh | Psychiatry & Neurology | 4200 Park Ave, 2nd Floor The Northcoast Center, Ashtabula, OH 44004 | 2007-04-30 |
| 1346362563 | Melissa Diane Fields | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-04-06 |
| 1881739159 | Kathleen C Bobulsky | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-02-21 |
| 1215076047 | Deryl Sterling Nazor | Social Worker | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207874 | Kelley Dew | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2019-04-03 |
| 1811490592 | Kayla Renee Bullock | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-03-09 |
| 1841790433 | Karissa Michaela Sasu | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-02-20 |
| 1083129308 | Julia Joanne Kovacs | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-12-08 |
| 1750894689 | Melodie Diane Bimle | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-14 |
| 1548773047 | Morgan Michelle Thompson | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1447763941 | Kristen Pal | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1720591225 | Nicholas Paul Cusano | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1457864951 | Aaron Drews | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1174036677 | Robin Suzette Jackson | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| Find all providers in ASHTABULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.