Provider Demographics
NPI:1164633426
Name:RAVENNA CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:RAVENNA CITY SCHOOL DISTRICT
Other - Org Name:SPECIAL SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-296-9679
Mailing Address - Street 1:534 SUMMIT STREET
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266
Mailing Address - Country:US
Mailing Address - Phone:330-297-6708
Mailing Address - Fax:330-297-7605
Practice Address - Street 1:534 SUMMIT STREET
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266
Practice Address - Country:US
Practice Address - Phone:330-296-9679
Practice Address - Fax:330-297-7605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1173721103T00000X
KU1031014103T00000X
KY1029805103T00000X
KU1004516103T00000X
142488163W00000X
130516163W00000X
OH4410225100000X
1072904225X00000X
OH063479225X00000X
OH002433225X00000X
OH1200819235Z00000X
OH1311088235Z00000X
UA1014747235Z00000X
KU1038826235Z00000X
KU1011784235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty