JAC-LIN MANOR (NPI# 1609082742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609082742 |
| Entity Type | Organization |
| Organization Name | JAC-LIN MANOR |
| Practice Address |
695 S Mount Vernon Ave Loudonville OH 44842-1414 |
| Practice Telephone | 4199945700 |
| Mailing Telephone | 4199945700 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LINDA S. SNOWBARGER (OWNER) |
| Authorized Official Telephone | 4199944191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
695 S MOUNT VERNON AVE |
| City | LOUDONVILLE |
| State | OH |
| Zip Code | 44842-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821599416 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 596 Hagan Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1093216681 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 114 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1922509512 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 150 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1285135871 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 207 Middle Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1346263563 | Loudonville Family Vision Inc | Optometrist | 631 N Union St, Loudonville, OH 44842 | 2006-07-26 |
| 1316170913 | Jennifer Leigh Goss | Licensed Practical Nurse | 118 W Loudon Ave, Loudonville, OH 44842-1021 | 2009-08-28 |
| 1457502353 | Joshua E Kaufman | Counselor | 637 N Market St, Loudonville, OH 44842-1029 | 2008-10-09 |
| 1578071262 | Michael Bitner | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2018-01-16 |
| 1538799325 | Dominique B James | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2020-01-21 |
| 1124175997 | Darrel L Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2007-01-04 |
| Find all providers in zip 44842 | ||||
| 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 |
|---|---|---|---|---|
| 1821599416 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 596 Hagan Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1093216681 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 114 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1922509512 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 150 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1285135871 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 207 Middle Dr, Loudonville, OH 44842 | 2018-02-28 |
| 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 | ||||
| City | LOUDONVILLE |
| Zip Code | 44842 |
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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.