TRIAD RESIDENTIAL SOLUTIONS LLC


Address: 4986 Gateway Dr, Medina, OH 44256
Phone: 3307237980

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 4800899 05

Office Location

Street Address 4986 GATEWAY DR
City MEDINA
State OH
Zip Code 44256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801879853 Performance Therapy Group, Inc. Occupational Therapist 4986 Gateway Dr, Medina, OH 44256-8637 2005-11-23

Providers in the same zip code

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 Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City MEDINA
Zip Code 44256

Improve Information

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Dataset Information

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.

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