OUR LADY OF THE WAYSIDE (NPI# 1306069752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306069752 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF THE WAYSIDE |
| Practice Address |
38135 Colorado Ave Avon OH 44011-1028 |
| Practice Telephone | 4409346007 |
| Practice Fax Number | 4409346327 |
| Mailing Telephone | 4409346007 |
| Mailing Fax Number | 4409346327 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | MR. TERRY DAVIS (CEO) |
| Authorized Official Telephone | 4409346007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4700514 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OUR LADY OF THE WAYSIDE | 4700514 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OUR LADY OF THE WAYSIDE SCHOOL | 432 S Mitchell Ave, Arlington Heights, IL 60005-1810 |
| Street Address |
38135 COLORADO AVE |
| City | AVON |
| State | OH |
| Zip Code | 44011-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437505773 | Our Lady of The Wayside Inc. | Non-emergency Medical Transport (VAN) | 38135 Colorado Ave, Avon, OH 44011-1028 | 2016-05-05 |
| 1255621991 | Thomas Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38135 Colorado Ave, Avon, OH 44011-1028 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013168111 | Guadalupe Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38023 Colorado Ave, Avon, OH 44011-1026 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053801 | Vip of Ohio, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2446 Audubon Rd, Akron, OH 44320-1010 | 2020-11-03 |
| 1871190280 | Gateways To Better Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 | 2020-10-08 |
| 1235746264 | Cheryl L Nelson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 | 2020-09-24 |
| 1164039244 | Amberdawn E Kenworthy-byers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3746 Hickory Ln, Greenville, OH 45331-3014 | 2020-09-23 |
| 1467067124 | Forever Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 | 2020-09-10 |
| 1174177737 | Alive Now Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 Amsel Ave Ne, Canton, OH 44721-2606 | 2019-07-31 |
| 1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
| 1811447519 | Royal Queens Care Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6625 Retton Rd, Reynoldsburg, OH 43068-2849 | 2016-10-06 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1700238391 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4383 Ammon Rd, Cleveland, OH 44143-2803 | 2016-07-07 |
| 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.