WELLINGTON ESTATES INC (NPI# 1790943538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790943538 |
| Entity Type | Organization |
| Organization Name | WELLINGTON ESTATES INC |
| Other Organization Name | BOARDWALK & PARKPLACE |
| Practice Address |
103-110 Weber Ct Wellington OH 44090 |
| Mailing Address |
Po Box 386 Wellington OH 44090-0386 |
| Practice Telephone | 4406472088 |
| Mailing Telephone | 4406472088 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MR. ADELBERT H WEBER (ADMINISTRATOR) |
| Authorized Official Telephone | 4406472088 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICADE PROVIDER NO. | 0880800 | 01 |
| OH | ODMR/DD FACILITY NO. | 4710576 | 01 |
| OH | MR/DD LICENSE NO. | 25845 | 01 |
| OH | MEDICARE PROVIDER NO. | 36-G447 | 01 |
| Other Name | Type Code |
|---|---|
| BOARDWALK & PARKPLACE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
| Street Address |
103-110 WEBER CT |
| City | WELLINGTON |
| State | OH |
| Zip Code | 44090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052567 | Kelly Lynne Keith | Registered Nurse | 121 W Herrick Ave, Wellington, OH 44090 | 2017-06-08 |
| 1104214964 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 101 Weber Court, Wellington, OH 44090 | 2015-01-02 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| 1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
| 1942407937 | Stephanie L Conrad | Physical Therapist | 110 Herrick Ave. West, Suite B, Wellington, OH 44090 | 2007-07-02 |
| 1033210935 | Laura Jean Pall Devengencie | Dentist | 406 West Herrick Avenue, Wellington, OH 44090 | 2006-09-26 |
| 1518565100 | Merle Perry Simmons | Homemaker | 345 Prospect St, Wellington, OH 44090 | 2020-10-15 |
| 1518993864 | Discount Drug Mart Inc | Pharmacy | 814 N Main St, Wellington, OH 44090-1000 | 2006-06-25 |
| 1336465418 | Lori Renee Waite | Licensed Practical Nurse | 214 Jones St, Wellington, OH 44090-1025 | 2010-04-14 |
| 1699316844 | Laura Joyce White | Pharmacist | 267 N Main St, Wellington, OH 44090-1045 | 2019-09-30 |
| Find all providers in zip 44090 | ||||
| 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 |
|---|---|---|---|---|
| 1104214964 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 101 Weber Court, Wellington, OH 44090 | 2015-01-02 |
| 1316335136 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 110 Weber Ct, Wellington, OH 44090-1174 | 2014-12-31 |
| 1144488099 | Wellington Estates Inc | Intermediate Care Facility, Mentally Retarded | 101 Weber Ct, Wellington, OH 44090 | 2008-05-28 |
| 1538326947 | Weber Health Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 214 E Herrick Ave, Wellington, OH 44090-1317 | 2008-05-22 |
| 1477941359 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 214 E Herrick Ave, Wellington, OH 44090-1317 | 2014-12-31 |
| 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 | WELLINGTON |
| Zip Code | 44090 |
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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.