OTTAWA VALLEY CENTER, INC. (NPI# 1235747320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235747320 |
| Entity Type | Organization |
| Organization Name | OTTAWA VALLEY CENTER, INC. |
| Practice Address |
1325 S Seriff Rd Lima OH 45805-2818 |
| Practice Telephone | 4199995260 |
| Mailing Telephone | 4199995260 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | CHRISTY A PERRINE (ADMINISTRATOR/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4199995260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES | 0200197 | 01 |
| OH | 2001943 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3677 S Amblewood Cir, Lima, OH 458061318 | 4199995260 |
| Street Address |
1325 S SERIFF RD |
| City | LIMA |
| State | OH |
| Zip Code | 45805-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564255 | Margarita Padua | Case Manager/Care Coordinator | 862 S Cable Rd, Suite B, Lima, OH 45805 | 2020-06-26 |
| 1942792908 | Misty Sommer Turner | Community/Behavioral Health | 1115 S. Sapakaneta, Lima, OH 45805 | 2018-06-05 |
| 1427545250 | Blanford Farms | Dentist | 3000 Elida Road Suite 3, Lima, OH 45805 | 2018-04-17 |
| 1639696776 | Joseph Edward Kraynok | Social Worker | 3103 W. Elm St., Lima, OH 45805 | 2017-08-29 |
| 1619424793 | Kylie Mcintyre | Speech-Language Pathologist | 1100 Shawnee Road, Lima, OH 45805 | 2016-09-06 |
| 1568810224 | Wesley Eugene Chan | Student in an Organized Health Care Education/Training Program | 1702 Allentown Road, Lima, OH 45805 | 2016-06-02 |
| 1932508637 | Olurin Olaleye | Licensed Practical Nurse | 1430 Oakland Pkwy Apt 4, Lima, OH 45805 | 2014-08-19 |
| 1780926519 | Patrick Harold Gorman | Chiropractor | 2425 Allentown Road, Lima, OH 45805 | 2013-03-19 |
| 1285979930 | Kelly C Stahr | Registered Nurse | 1955 Hillcrest, Lima, OH 45805 | 2012-12-06 |
| 1750641148 | Christina Renee Triplett | Marriage & Family Therapist | 1240 W. Market St, Suite 3, Lima, OH 45805 | 2012-05-21 |
| Find all providers in zip 45805 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043341 | Denise Szabados | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 802 Valley Dr, Amherst, OH 44001-2041 | 2020-11-05 |
| 1093316374 | Collene Marie Hill | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 06605 Cr 8, Bryan, OH 43506-4350 | 2020-11-04 |
| 1467052050 | Kathryn Mooers Howitt | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 374 Woodlawn Reserve Rd, Akron, OH 44305-3959 | 2020-11-01 |
| 1679173629 | The Resource Empowerment Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3895 S Main St, Akron, OH 44319-3630 | 2020-10-29 |
| 1104426667 | Highest Expectations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 W South St, Lebanon, OH 45036-2127 | 2020-10-26 |
| 1982203964 | Family Care Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5012 Saint Aubin Dr, Toledo, OH 43615-5913 | 2020-10-21 |
| 1699374082 | Pamela Wilkes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Washburn Rd, Tallmadge, OH 44278-2612 | 2020-10-18 |
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1558969477 | Caryl Westgerdes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3064 Eagle Cove Dr, Ripley, OH 45167-9683 | 2020-10-13 |
| 1972101210 | Nakia Sullins | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6033 Bear Creek Dr Apt 210, Bedford Heights, OH 44146-2907 | 2020-10-09 |
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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.