HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES (NPI# 1417010067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417010067 |
Entity Type | Organization |
Organization Name | HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES |
Practice Address |
9772 Diagonal Road Mantua OH 44255 |
Mailing Address |
9772 Diagonal Rd Mantua OH 44255-9128 |
Practice Telephone | 3302742272 |
Practice Fax Number | 3307322467 |
Mailing Telephone | 3302742272 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2020-01-31 |
Authorized Official Name | MR. GREG SNYDER (CFO) |
Authorized Official Telephone | 3308406851 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6701000 | OH | Residential Treatment Facilities |
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | OH | Residential Treatment Facilities | |
N | 251E00000X | Home Health | 6701000 | OH | Agencies |
Y | 251E00000X | Home Health | OH | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 6701000 | 05 | |
OH | 2266435 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
1558664771 | Hattie Larlham Center for Children With Disablilites | Skilled Nursing Facility | 9772 Diagonal Road, Mantua, OH 44255 | 2010-12-09 |
1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
Street Address |
9772 DIAGONAL ROAD |
City | MANTUA |
State | OH |
Zip Code | 44255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
1558664771 | Hattie Larlham Center for Children With Disablilites | Skilled Nursing Facility | 9772 Diagonal Road, Mantua, OH 44255 | 2010-12-09 |
1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740616820 | Cleveland Clinic Sports Health Center | Clinic/Center | 4683 Wayne Road, Mantua, OH 44255 | 2013-09-19 |
1063565927 | Mantua Pharmacy Inc | Pharmacy | 10870 N. Main St, Mantua, OH 44255 | 2007-01-22 |
1780763763 | Advanced Rehabilitation and Health Specialists Inc | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-02 |
1023091774 | Emily Claire Voytilla | Optometrist | 10730 Main Street, Mantua, OH 44255 | 2005-11-28 |
1073015558 | Jillyan Collica | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44255 | 2018-03-01 |
1902011240 | Norman Joseph Sadowski | Pharmacist | 10870 Main Street, Mantua, OH 44255 | 2007-05-11 |
1568535862 | Edie Knowlton Benner | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-16 |
1235327461 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2007-10-12 |
1265403539 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2006-01-27 |
1770740326 | Joseph R Pawlik | Dentist | 10730 Main St, Mantua, OH 44255-0650 | 2008-05-21 |
Find all providers in zip 44255 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881014140 | Dedicated Home Care,llc | Home Health | 101 Mantua Blvd Ste D, Mantua, NJ 08051-1025 | 2014-04-24 |
1245483288 | Brimex Medical, Inc | Home Health | 397 Bridgeton Pike, Mantua, NJ 08051-1925 | 2008-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902025 | Cassandra Tubbs | Home Health | 1462 S 13th St, Coshocton, OH 43812-2661 | 2020-11-05 |
1376144394 | Tammy C Sanders | Home Health | 14604 Reddington Ave, Maple Heights, OH 44137-3218 | 2020-11-05 |
1144821273 | Kerry N Miller II | Home Health | 1020 Huffman Ct, Cincinnati, OH 45231 | 2020-11-04 |
1154922334 | Lisa Marie Hard | Home Health | 2000 Us Highway 23 N Lot 86, Delaware, OH 43015-8647 | 2020-11-04 |
1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
1396346706 | Shardonia Bianca Paguada | Home Health | 554 Elda St, Columbus, OH 43203-1105 | 2020-11-03 |
1750982062 | Leah Denise Nicole Dutch | Home Health | 547 Carpenter St, Akron, OH 44310-2965 | 2020-11-03 |
1538760970 | Shirley Odessa Hairston | Home Health | 1802 Fallbrook Lane, Cincinnati, OH 45240 | 2020-11-03 |
1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
1558962811 | Rachel Brett Higgins | Home Health | 900 Harris Station Rd, Bainbridge, OH 45612-9734 | 2020-11-03 |
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.