MY SISTERS HOUSE FOR GIRLS, INC. (NPI# 1003359936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359936 |
| Entity Type | Organization |
| Organization Name | MY SISTERS HOUSE FOR GIRLS, INC. |
| Practice Address |
4540 Woolcut Ln Toledo OH 43615-7667 |
| Practice Telephone | 4193221587 |
| Mailing Telephone | 4193221587 |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2016-11-26 |
| Authorized Official Name | MS. LADONNA KNABBS (DIRECTOR) |
| Authorized Official Telephone | 4193221587 |
| Is Organization Subpart | Y |
| Parent Organization Name | ICONIC ENTERPRISES, LLC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
4540 WOOLCUT LN |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615-7667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
| 1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
| 1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
| 1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
| 1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
| 1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
| 1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
| 1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
| 1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
| Find all providers in zip 43615 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023378155 | Rescue Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613474 | Kimberly Sangare | Community Based Residential Treatment Facility, Mental Illness | 2302 Norwood Ave Apt 3, Cincinnati, OH 45212-2738 | 2020-03-03 |
| 1427618404 | Ian Edwards | Community Based Residential Treatment Facility, Mental Illness | 1345 Shela Blvd Apt 7, Portsmouth, OH 45662-8981 | 2019-06-20 |
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1962864348 | Kailey Bradley | Community Based Residential Treatment Facility, Mental Illness | 80 Samaritan Ave Apt 1, Ashland, OH 44805-3924 | 2016-03-24 |
| 1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
| 1184943417 | Tender Mercies, Inc. | Community Based Residential Treatment Facility, Mental Illness | 27 W 12th St, Cincinnati, OH 45202-7205 | 2010-05-26 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1891945549 | Tarry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 564 Diagonal Rd, Akron, OH 44320-3010 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.