ANNE GRADY CORPORATION (NPI# 1285988717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285988717 |
| Entity Type | Organization |
| Organization Name | ANNE GRADY CORPORATION |
| Other Organization Name | ANNE GRADY OUTPATIENT THERAPY |
| Practice Address |
1525 Eber Rd Holland OH 43528-9616 |
| Practice Telephone | 4198666500 |
| Practice Fax Number | 4198667457 |
| Mailing Telephone | 4198666500 |
| Mailing Fax Number | 4198667457 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | MR. ROGER FORTENER (ASSOC EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4198666500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Anne Grady Outpatient Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135493 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 7053 Dorr St, Toledo, OH 43615-4105 | 2015-10-05 |
| 1134456759 | Anne Grady Corporation | Ambulance | 2955 Gradwohl Rd, Toledo, OH 43617-1507 | 2009-11-04 |
| 1477798502 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 1601 Eber Rd, Holland, OH 43528-8213 | 2008-12-03 |
| 1114172905 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 5923 Everwood Rd, Toledo, OH 43613-1231 | 2008-11-21 |
| 1639252901 | Anne Grady Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1525 Eber Rd, Holland, OH 43528-9616 | 2006-10-23 |
| 1528439932 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 1525 Eber Rd, Holland, OH 43528-9616 | 2015-10-12 |
| 1346529591 | Anne Grady Corporation | Clinic/Center | 1525 Eber Rd, Holland, OH 43528-9616 | 2011-08-05 |
| Street Address |
1525 EBER RD |
| City | HOLLAND |
| State | OH |
| Zip Code | 43528-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639252901 | Anne Grady Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1525 Eber Rd, Holland, OH 43528-9616 | 2006-10-23 |
| 1528439932 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 1525 Eber Rd, Holland, OH 43528-9616 | 2015-10-12 |
| 1114357514 | Jeremy Kestner | Physical Therapy Assistant | 1525 Eber Rd, Holland, OH 43528-9616 | 2013-11-21 |
| 1346529591 | Anne Grady Corporation | Clinic/Center | 1525 Eber Rd, Holland, OH 43528-9616 | 2011-08-05 |
| 1154636744 | Jane Marie Fortener | Occupational Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2010-08-09 |
| 1417262007 | Christine Marian Kudlak | Speech-Language Pathologist | 1525 Eber Rd, Holland, OH 43528-9616 | 2010-08-09 |
| 1033237953 | Colleen Catherine Tye | Physical Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2007-03-27 |
| 1780702332 | Pam Jean Brosius | Physical Therapist | 1525 Eber Rd, Holland, OH 43528-9616 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542345 | Bobbi Stall | Technician | 1027 Raymil, Holland, OH 43528 | 2020-09-15 |
| 1336789049 | Diana Kobylak | Licensed Practical Nurse | Racing for Recovery, 6202 Trust Dr., Holland, OH 43528 | 2020-01-10 |
| 1982262291 | Raven Diane Hannah | Licensed Vocational Nurse | 350 South Irwin Rd, Holland, OH 43528 | 2019-06-01 |
| 1881163988 | Brandon Scott Smith | Counselor | 350 S Irwin Road, Holland, OH 43528 | 2018-11-19 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1023509460 | Shaunte Harris | Counselor | 350 S Irwin, Holland, OH 43528 | 2018-05-22 |
| 1982193314 | William Floyd Johnson | Counselor | 350 S. Irwin, Holland, OH 43528 | 2018-05-01 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1780186262 | Vicki Gottfried | Community/Behavioral Health | 7015 Spring Meadows West Drive Suite 102, Holland, OH 43528 | 2018-03-01 |
| 1922519859 | Shaunta Marie Grier | Licensed Practical Nurse | 350 S Irwin Street, Holland, OH 43528 | 2017-10-18 |
| Find all providers in zip 43528 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1184682973 | Eagle Eye Family Development Center | Clinic/Center | 4515 N Ridge Rd E, Ashtabula, OH 44004-4364 | 2006-05-02 |
| 1881687085 | Travco Rehabilitation Center, Inc. | Clinic/Center | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2005-08-24 |
| 1184253148 | Youngstown Physical Rehabilitation | Clinic/Center | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2020-04-02 |
| 1114475258 | Jane Bragg-barnes | Clinic/Center | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2016-09-19 |
| 1316307499 | Highland District Hospital | Clinic/Center | 1108 Northview Dr, Hillsboro, OH 45133-1184 | 2016-03-02 |
| 1215329909 | Old School LLC | Clinic/Center | 17400 Northwood Ave, Lakewood, OH 44107-2210 | 2015-03-04 |
| 1356675003 | Lake Hospital System, Inc | Clinic/Center | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2009-09-29 |
| 1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
| Find all providers with the same taxonomy | ||||
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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.