Provider Demographics
NPI:1467472886
Name:CITY OF WOOSTER
Entity type:Organization
Organization Name:CITY OF WOOSTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANASOV
Authorized Official - Suffix:
Authorized Official - Credentials:MSSA, LISW-S
Authorized Official - Phone:330-263-8358
Mailing Address - Street 1:1761 BEALL AVE
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2342
Mailing Address - Country:US
Mailing Address - Phone:330-263-8636
Mailing Address - Fax:330-263-8541
Practice Address - Street 1:3727 FRIENDSVILLE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-7127
Practice Address - Country:US
Practice Address - Phone:330-263-8636
Practice Address - Fax:330-263-8541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0211925Medicaid
OH367624Medicare Oscar/Certification