CHAMPAIGN RESIDENTIAL SERVICES, INC.


Address: 58 Orchard Park, Tiffin, OH 44883
Phone: 9376531320

CHAMPAIGN RESIDENTIAL SERVICES, INC. (NPI# 1780057661) 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) 1780057661
Entity Type Organization
Organization Name CHAMPAIGN RESIDENTIAL SERVICES, INC.
Other Organization Name CRSI
Practice Address 58 Orchard Park
Tiffin
OH 44883
Mailing Address 1150 Scioto St
Po Box 29
Urbana
OH 43078-2289
Practice Telephone 9376531320
Practice Fax Number 9376531321
Mailing Telephone 9376531320
Mailing Fax Number 9376531321
Enumeration Date 2015-11-02
Last Update Date 2015-11-02
Authorized Official Name SCOTT A DELONG (PRESIDENT)
Authorized Official Telephone 9376531320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded OH Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
CRSI Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700258795 Champaign Residential Services, Inc. Intermediate Care Facility, Mentally Retarded 106 Mckinley Ave, Mount Vernon, OH 43050-8411 2015-10-29
1790156529 Champaign Residential Services, Inc. Intermediate Care Facility, Mentally Retarded 200 S Norton St, Mount Vernon, OH 43050-4024 2015-10-20
1912146572 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 141 Richard Avenue, Bellefontaine, OH 43311 2009-02-05
1861631426 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 400 Oakland Street, Urbana, OH 43078 2009-02-05
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
1710126370 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 329 East Spring Avenue, Bellefontaine, OH 43311 2009-02-05
1649418252 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 124 Hill Street, Urbana, OH 43078 2009-02-04
1295973824 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 334 Scioto Street, Urbana, OH 43078 2009-02-04
1609014224 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2380 St. Rt. 68 South, Urbana, OH 43078 2009-02-04
1437397031 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 809 South High Street, Urbana, OH 43078 2009-02-04

Office Location

Street Address 58 ORCHARD PARK
City TIFFIN
State OH
Zip Code 44883

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487255758 Aaron Michael Konkle Pharmacist 2801 State Route 18, Tiffin, OH 44883 2020-11-04
1487286159 Sandra Natole Counselor 200 St Francis Ave, Tiffin, OH 44883 2020-02-10
1083260988 Trilogy Healthcare of Tiffin, LLC Skilled Nursing Facility 410 Fair Lane, Tiffin, OH 44883 2019-08-15
1801440250 Kenneth Oswald Counselor 3055 S Sr 100, Tiffin, OH 44883 2019-07-24
1932764107 Cuadra Pediatric Dentistry, LLC Dentist Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 2019-05-03
1578033114 Morgan Leann Fultz Student in an Organized Health Care Education/Training Program 310 East Market St, Tiffin, OH 44883 2018-11-27
1568989630 Alicia Taylor Frank Speech-Language Pathologist 797 E. Clinton Tr 201, Tiffin, OH 44883 2017-08-29
1861938920 Devin Erika Fry Physical Therapy Assistant 2550 Oh-100, Tiffin, OH 44883 2017-01-13
1407392608 Erica Hoffman Occupational Therapy Assistant 2550 Oh 100, Tiffin, OH 44883 2017-01-11
1164973509 Spencers Home Modifications Contractor 8 High Pointe Court, Tiffin, OH 44883 2016-10-20
Find all providers in zip 44883

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497127518 Champaign Residential Services, Inc Intermediate Care Facility, Mentally Retarded 2976 W. Us 224, Tiffin, OH 44883 2015-10-28
1871964650 Champaign Residential Services Inc Intermediate Care Facility, Mentally Retarded 12 Orchard Park, Tiffin, OH 44883 2015-10-19
1275686602 Tiffin Developmental Center Intermediate Care Facility, Mentally Retarded 600 N River Rd, Tiffin, OH 44883-1173 2007-01-19

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City TIFFIN
Zip Code 44883

Improve Information

Please comment or provide details below to improve the information on CHAMPAIGN RESIDENTIAL SERVICES, INC..

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.

Trending Searches