Provider Demographics
NPI:1093785784
Name:THE CARR CENTER
Entity Type:Organization
Organization Name:THE CARR CENTER
Other - Org Name:ALFRED S CARR CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-453-5417
Mailing Address - Street 1:1035 BEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1414
Mailing Address - Country:US
Mailing Address - Phone:740-453-5417
Mailing Address - Fax:740-453-5480
Practice Address - Street 1:1035 BEVERLY AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1414
Practice Address - Country:US
Practice Address - Phone:740-453-5417
Practice Address - Fax:740-453-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0899943Medicaid
OH0832148Medicaid