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A1 SUPPORTIVE LIVING AGENCY
NPI 1982471587
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Toledo, OH

Active since December 05, 2023
2614 W CENTRAL AVE, TOLEDO, OH 43606(419) 699-6769 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 26, 2024, Dec 5, 2023 (2 updates tracked since 2023).

About A1 Supportive Living Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A1 SUPPORTIVE LIVING AGENCY (NPI 1982471587) is a healthcare organization registered as an assisted living, behavioral disturbances in Toledo, Ohio and active in the NPI registry since December 2023. The organization lists Shawanda Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1982471587
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameA1 SUPPORTIVE LIVING AGENCY
Location Address2614 W CENTRAL AVEToledo, OH 43606-3547
Mailing AddressPo Box 70651Toledo, OH 43607-0651
Phone(419) 699-6769
Organization SubpartNo
Authorized OfficialShawanda JohnsonOwner · (419) 699-6769
Enumeration DateDecember 5, 2023
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1982471587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
2614 W CENTRAL AVE, Toledo, OH 43606
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWANDA JOHNSON
Case Manager/Care Coordinator
2614 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 699-6769
HEATHER ARIANNA HAYWARD
Case Manager/Care Coordinator
2614 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 273-7423
EL CARTER
Case Manager/Care Coordinator
2614 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 273-7423
AMBER THOMAS
Case Manager/Care Coordinator
2614 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 273-7423
ZION LONG
Case Manager/Care Coordinator
2614 W CENTRAL AVE
TOLEDO, OH 43606
Lucas County (419) 273-7423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A1 Supportive Living Agency's NPI number?

The NPI number for A1 Supportive Living Agency is 1982471587. It was assigned to this organization in the NPPES registry on December 5, 2023.

Where is A1 Supportive Living Agency located?

A1 Supportive Living Agency is located at 2614 W Central Ave, Toledo, OH 43606. The listed phone number is (419) 699-6769.

What is A1 Supportive Living Agency's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for A1 Supportive Living Agency was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.