Provider Demographics
NPI: | 1255765996 |
---|---|
Name: | TOTAL EDUCATION SOLUTIONS |
Entity type: | Organization |
Organization Name: | TOTAL EDUCATION SOLUTIONS |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MORGAN |
Authorized Official - Middle Name: | BEHNY |
Authorized Official - Last Name: | MEDINA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 323-404-1026 |
Mailing Address - Street 1: | 99 PASADENA AVE STE 10C |
Mailing Address - Street 2: | |
Mailing Address - City: | SOUTH PASADENA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91030-6142 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 323-404-1026 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3428 W MARKET ST |
Practice Address - Street 2: | |
Practice Address - City: | FAIRLAWN |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44333-3339 |
Practice Address - Country: | US |
Practice Address - Phone: | 330-668-4041 |
Practice Address - Fax: | 330-666-5626 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-08-29 |
Last Update Date: | 2025-08-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 385H00000X | Respite Care Facility | Respite Care |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 0119381 | Medicaid | |
OH | 7713531 | Other | DODD |