BEREA CHILDREN'S HOME
NPI 1588935779
Preferred Provider Organization in Berea, OH

Active since January 19, 2012
303 E BAGLEY RD, BEREA, OH 44017(440) 260-8366 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About BEREA CHILDREN'S HOME

This page provides the complete NPI Profile along with additional information for Berea Children's Home, a provider established in Berea, Ohio operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1588935779 assigned on January 2012. The practitioner's primary taxonomy code is 305R00000X with license number E0004854 (OH). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Berea Children's Home. The authorized official of this NPI record is Dr. Ben Kearney Ph.d. (Vice President, Counseling)

NPI
1588935779 Verify this NPI
Provider Legal Name
OHIOGUIDESTONE
Other Organization Name
BEREA CHILDREN'S HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
303 E BAGLEY RD BEREA, OH 44017
Location Phone
(440) 260-8366
Mailing Address
434 EASTLAND RD. BEREA, OH 44017
Mailing Phone
(440) 260-8300
Mailing Fax
(440) 234-8319
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2012
Last Update Date
08-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
E0004854
License State
OH
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BEN KEARNEY PH.D.

Authorized Official Title
VICE PRESIDENT, COUNSELING
Authorized Official Phone
(440) 260-8340

Reviews for BEREA CHILDREN'S HOME

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker (Clinical)
303 E BAGLEY RD
BEREA, OH 44017
Counselor (Professional)
303 E BAGLEY RD
BEREA, OH 44017
Counselor (Professional)
303 E BAGLEY RD
BEREA, OH 44017
Counselor (Professional)
303 E BAGLEY RD
BEREA, OH 44017
Social Worker (Clinical)
303 E BAGLEY RD
BEREA, OH 44017
Community/Behavioral Health
303 E BAGLEY RD
BEREA, OH 44017
Social Worker
303 E BAGLEY RD
BEREA, OH 44017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588935779, enumerated as an "organization" on January 19, 2012.

The provider is located at 303 E BAGLEY RD BEREA, OH 44017 and the phone number is (440) 260-8366.

Preferred Provider Organization with taxonomy code 305R00000X.