TRIAD RESIDENTIAL SOLUTIONS LLC (NPI# 1417051541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417051541 |
Entity Type | Organization |
Organization Name | TRIAD RESIDENTIAL SOLUTIONS LLC |
Practice Address |
4986 Gateway Dr Medina OH 44256 |
Mailing Address |
Po Box 352313 Toledo OH 43635-2313 |
Practice Telephone | 3307237980 |
Practice Fax Number | 3307237981 |
Mailing Telephone | 4195363497 |
Mailing Fax Number | 4195363529 |
Enumeration Date | 2006-09-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. TODD J FRICK (DIRECTOR) |
Authorized Official Telephone | 4195363497 |
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 | 2293414 | OH | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 4800899 | 05 |
Street Address |
4986 GATEWAY DR |
City | MEDINA |
State | OH |
Zip Code | 44256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801879853 | Performance Therapy Group, Inc. | Occupational Therapist | 4986 Gateway Dr, Medina, OH 44256-8637 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
Find all providers in zip 44256 |
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 |
---|---|---|---|---|
1437633765 | Enhance Ability, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33838 Neff Rd, Medina, OH 44256-9303 | 2018-09-21 |
1972718351 | Society for Handicapped Citizens | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5871 Fenn Rd, Medina, OH 44256-9457 | 2007-05-11 |
1699980078 | Society for Handicapped Citizens | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5810 Deerview Ln, Medina, OH 44256-8003 | 2007-05-11 |
1871706077 | Society for Handicapped Citizens | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Lafayette Rd, Medina, OH 44256-2334 | 2007-05-07 |
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.