Anthony Passalacqua
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Twinsburg, OH. Individual provider (NPI-1).
NPI number1053917005
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1053917005
- Entity type
- Individual (NPI-1)
- Name
- Anthony Passalacqua
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2789 Mathers WayTwinsburg, OH 44087-2625
Phone 216-548-7997
Mailing address
2789 Mathers WayTwinsburg, OH 44087-2625
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