STELLAR SUPPORT SERVICES LLC (NPI# 1578985115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578985115 |
| Entity Type | Organization |
| Organization Name | STELLAR SUPPORT SERVICES LLC |
| Practice Address |
541 West Ave Ste 1b 541 West Avenue Suite 1b Tallmadge OH 44278-1790 |
| Mailing Address |
1055 Bye St 541 West Avenue Suite 1b Akron OH 44320-2178 |
| Practice Telephone | 2347883314 |
| Mailing Telephone | 2347883314 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | MRS. MARVINA DENISE WILLIAMS (CEO) |
| Authorized Official Telephone | 2347883314 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 315P00000X | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0095420 | 05 |
| Street Address |
541 WEST AVE STE 1B 541 WEST AVENUE SUITE 1B |
| City | TALLMADGE |
| State | OH |
| Zip Code | 44278-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110351 | Sandra Schafer | Homemaker | 273 North Thomas Rd, Tallmadge, OH 44278 | 2020-09-29 |
| 1972071355 | Forever Home Health LLC | Nursing Care | 982 Atwood Dr, Tallmadge, OH 44278 | 2018-11-05 |
| 1235656554 | Corliss J. Mayle | Social Worker | 30 Northwest Ave., Tallmadge, OH 44278 | 2017-08-28 |
| 1477079739 | Wilfredo E Torres | Social Worker | 30 Northwest Avenue, Building A, Suite 120, Tallmadge, OH 44278 | 2017-08-18 |
| 1518377936 | Shasta O'neal | Licensed Practical Nurse | 72 N. Thomas Rd, Apt 10 B, Tallmadge, OH 44278 | 2014-05-07 |
| 1952593709 | Judith Marie Mitchell | Home Health Aide | 65 Community Road, Pioneer Physicians Netword, Tallmadge, OH 44278 | 2007-08-15 |
| 1336340504 | University Primary Care Practices Inc | Clinic/Center | 145 West Ave Ste 2, Tallmadge, OH 44278 | 2007-05-29 |
| 1609098631 | Kenneth L Penix II | Case Manager/Care Coordinator | 392 Northwest Ave, Tallmadge, OH 44278 | 2007-05-02 |
| 1215158308 | Humberto Gonzales Caballero | Driver | 919 Sunset View Blvd, Tallmadge, OH 44278 | 2007-05-02 |
| 1891863940 | Gerald Sisko | Dentist | 193 East Ave, Tallmadge, OH 44278 | 2006-11-30 |
| Find all providers in zip 44278 | ||||
| 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 |
|---|---|---|---|---|
| 1659801652 | Miller Holdings Summit, Inc. | Intermediate Care Facility, Mentally Retarded | 105 N Thomas Rd, Tallmadge, OH 44278-1712 | 2017-06-13 |
| 1801324652 | Miller Holdings Summit, Inc. | Intermediate Care Facility, Mentally Retarded | 780 Dunbar Rd, Tallmadge, OH 44278-3104 | 2017-05-24 |
| 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 |
| 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.