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NPI Code Detail

MEDICARE: EASTERSEALS OF NORTHEAST OHIO

MEDICARE: EASTERSEALS OF NORTHEAST OHIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332U00000XHome Delivered Meals
2261QA0600XAdult Day Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881842664
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERSEALS OF NORTHEAST OHIO
Provider Business Mailing Address
First Line : 299 EDWARDS ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44502-1504
Country : US
Telephone Number : 330-743-1168
Fax Number : 330-743-1616
Provider Business Practice Location Address
First Line : 299 EDWARDS ST
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44502-1504
Country : US
Telephone Number : 330-743-1168
Fax Number : 330-743-1616
Authorized Official
Title or Position : CEO
Name : JODY KLASE
Credential :
Telephone Number : 330-599-5493
Provider Enumeration Date : 09/04/2008
Last Update Date : 05/04/2026

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Directions to “EASTERSEALS OF NORTHEAST OHIO ” Practice Location

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