GENTLEBROOK, INC. (NPI# 1780971762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780971762 |
| Entity Type | Organization |
| Organization Name | GENTLEBROOK, INC. |
| Practice Address |
880 Sunnyside St Sw Hartville OH 44632-9087 |
| Practice Telephone | 3308777700 |
| Practice Fax Number | 3308777701 |
| Mailing Telephone | 3308777700 |
| Mailing Fax Number | 3308777701 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MICHAEL D SLEUTZ (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 3308777700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7601796 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2274140 | 05 |
| Street Address |
880 SUNNYSIDE ST SW |
| City | HARTVILLE |
| State | OH |
| Zip Code | 44632-9087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285167221 | The Homestead | Assisted Living Facility | 880 Sunnyside St Sw, Hartville, OH 44632-9087 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419213 | Abigail Butler | Student in an Organized Health Care Education/Training Program | 10401 Market Ave N, Hartville, OH 44632 | 2018-09-05 |
| 1437371770 | Hartville Volunteer Fire Department Inc | Ambulance | 411 East Maple Street, Hartville, OH 44632 | 2007-05-03 |
| 1427134402 | William Scott Hendricks | Dentist | 140 Grand Trunk Ave., Hartville, OH 44632 | 2006-10-31 |
| 1316052806 | F K Abbousy Md, Inc. | Pediatrics | 650 S Prospect Ave, Suite 202, Hartville, OH 44632 | 2006-08-21 |
| 1346345204 | Fadhil K Abbousy | Pediatrics | 650 S Prospect Ave, Ste 202, Hartville, OH 44632 | 2006-09-14 |
| 1114577921 | Lizabeth Rae Gaut | Physical Therapist | 650 S. Prospect Avenue, Hartville, OH 44632-0991 | 2019-09-13 |
| 1013093368 | Linda Marie Robinson | Physical Therapist | 650 S Prospect Avenue, Hartville, OH 44632-0991 | 2006-10-30 |
| 1730265091 | Vickie Sue Whited | Physical Therapist | 650 S Prospect Avenue, Hartville, OH 44632-0991 | 2006-10-30 |
| 1154845931 | Jordan M Seese | Nurse Practitioner | 855 W Maple St Ste 110, Hartville, OH 44632-7601 | 2017-08-02 |
| 1174080071 | Jessica M Davidson | Nurse Practitioner | 855 W Maple St Ste 110, Hartville, OH 44632-7601 | 2019-02-27 |
| Find all providers in zip 44632 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053801 | Vip of Ohio, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2446 Audubon Rd, Akron, OH 44320-1010 | 2020-11-03 |
| 1871190280 | Gateways To Better Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 | 2020-10-08 |
| 1235746264 | Cheryl L Nelson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 | 2020-09-24 |
| 1164039244 | Amberdawn E Kenworthy-byers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3746 Hickory Ln, Greenville, OH 45331-3014 | 2020-09-23 |
| 1467067124 | Forever Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 | 2020-09-10 |
| 1174177737 | Alive Now Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 Amsel Ave Ne, Canton, OH 44721-2606 | 2019-07-31 |
| 1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
| 1811447519 | Royal Queens Care Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6625 Retton Rd, Reynoldsburg, OH 43068-2849 | 2016-10-06 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1700238391 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4383 Ammon Rd, Cleveland, OH 44143-2803 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GENTLEBROOK, INC..
| 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.