WEST HOMES AGENCY (NPI# 1245457779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245457779 |
| Entity Type | Organization |
| Organization Name | WEST HOMES AGENCY |
| Practice Address |
728 N 1st St Dennison OH 44621-1002 |
| Mailing Address |
1066 Bernard Rd Columbus OH 43221-1610 |
| Practice Telephone | 7409225554 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOUGLAS E WESTMILL (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Telephone | 3303405291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 25929 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MRDD BILLING SYSTEM | 2527199 | 01 |
| Street Address |
728 N 1ST ST |
| City | DENNISON |
| State | OH |
| Zip Code | 44621-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851873921 | Charlene Ann Gardner | Social Worker | 819 North First Street, 3rd Floor, Dennison, OH 44621 | 2018-09-05 |
| 1083826994 | Claymont City Schools | Local Education Agency (LEA) | 201 N Third Street, Districtwide- All School Buildings, Dennison, OH 44621 | 2007-05-04 |
| 1225194947 | Ohio Cvs Stores, L.L.C. | Pharmacist | 21 Grant St, Dennison, OH 44621 | 2006-12-28 |
| 1114917390 | Timothy A Mcknight | Family Medicine | 819 N. First Street, Dennison, OH 44621 | 2005-10-27 |
| 1225042484 | Mohammad A. Jan | Internal Medicine | 819 N 1st St., Dennison, OH 44621-1003 | 2006-07-27 |
| 1326033531 | Stuart K Brown | Family Medicine | 819 N 1st St, Dennison, OH 44621-1003 | 2005-09-14 |
| 1770062184 | Mary Catheryn Kemp | Social Worker | 819 N 1st St, Dennison, OH 44621-1003 | 2018-08-08 |
| 1639510597 | Katelyn Michelle Obermiller | Nurse Practitioner | 819 N 1st St, Dennison, OH 44621-1003 | 2013-07-08 |
| 1083052906 | Trinity Hospital Twin City | Clinic/Center | 819 N 1st St, Dennison, OH 44621-1003 | 2013-06-13 |
| 1205187598 | Steel Valley Emergency Physicians Twin City Inc | Hospitalist | 819 N 1st St, Dennison, OH 44621-1003 | 2012-09-26 |
| Find all providers in zip 44621 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
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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.