Unknown Individual – Case Manager/Care Coordinator, NPI 1104969542

Unknown Individual is a healthcare provider. based in Stow, Ohio. specializing in Case Manager/Care Coordinator. They hold a License No. C-042406 (OH). The NPI Number for Unknown Individual is 1104969542

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104969542
Phone
(330) 689-0751
Address
4286 BAIRD RD
Deactivation Date
14 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4286 BAIRD RD

    STOW, OH 442243649

    Phone: (330) 689-0751

    Fax: (330) 689-0752

    Type: Mailing

  • 4286 BAIRD ROAD

    STOW, OH 442243649

    Phone: (330) 689-0751

    Fax: (330) 689-0752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44224)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1104969542 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Case Manager/Care Coordinator is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Stow, Ohio in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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