HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES (NPI# 1801955240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801955240 |
| Entity Type | Organization |
| Organization Name | HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES |
| Practice Address |
9772 Diagonal Road Mantua OH 44255 |
| Mailing Address |
9772 Diagonal Rd Mantua OH 44255-9128 |
| Practice Telephone | 3302742272 |
| Practice Fax Number | 3307322467 |
| Mailing Telephone | 3308406851 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | GREGORY SNYDER (CFO) |
| Authorized Official Telephone | 3308406851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310500000X | Intermediate Care Facility, Mental Illness | 6700127 | OH | Nursing & Custodial Care Facilities |
| Y | 310500000X | Intermediate Care Facility, Mental Illness | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 6700127 | 05 | |
| OH | 0244828 | 05 | |
| OH | 0729322 | 05 | |
| OH | 0269874 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558664771 | Hattie Larlham Center for Children With Disablilites | Skilled Nursing Facility | 9772 Diagonal Road, Mantua, OH 44255 | 2010-12-09 |
| 1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
| 1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
| 1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
| 1417010067 | Hattie Larlham Center for Children With Disablilites | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-18 |
| Street Address |
9772 DIAGONAL ROAD |
| City | MANTUA |
| State | OH |
| Zip Code | 44255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558664771 | Hattie Larlham Center for Children With Disablilites | Skilled Nursing Facility | 9772 Diagonal Road, Mantua, OH 44255 | 2010-12-09 |
| 1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
| 1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
| 1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
| 1417010067 | Hattie Larlham Center for Children With Disablilites | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616820 | Cleveland Clinic Sports Health Center | Clinic/Center | 4683 Wayne Road, Mantua, OH 44255 | 2013-09-19 |
| 1063565927 | Mantua Pharmacy Inc | Pharmacy | 10870 N. Main St, Mantua, OH 44255 | 2007-01-22 |
| 1780763763 | Advanced Rehabilitation and Health Specialists Inc | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-02 |
| 1023091774 | Emily Claire Voytilla | Optometrist | 10730 Main Street, Mantua, OH 44255 | 2005-11-28 |
| 1073015558 | Jillyan Collica | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44255 | 2018-03-01 |
| 1902011240 | Norman Joseph Sadowski | Pharmacist | 10870 Main Street, Mantua, OH 44255 | 2007-05-11 |
| 1568535862 | Edie Knowlton Benner | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-16 |
| 1235327461 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2007-10-12 |
| 1265403539 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2006-01-27 |
| 1770740326 | Joseph R Pawlik | Dentist | 10730 Main St, Mantua, OH 44255-0650 | 2008-05-21 |
| Find all providers in zip 44255 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902926405 | Aurora Road Group Home | Intermediate Care Facility, Mental Illness | 9772 Diagonal Rd, Mantua, OH 44255-9128 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068391 | Latter Rain Associates | Intermediate Care Facility, Mental Illness | 1631 Sherrick Rd Se, Canton, OH 44707-3536 | 2014-06-18 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1669538955 | Montgomery Developmental Center | Intermediate Care Facility, Mental Illness | 7650 Timbercrest Dr, Huber Heights, OH 45424-2405 | 2006-12-29 |
| 1932268166 | St. Joseph Infant & Maternity Home | Intermediate Care Facility, Mental Illness | 10722 Wyscarver Rd, Cincinnati, OH 45241-3061 | 2006-12-06 |
| 1306486808 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26405 Tryon Rd, Bedford, OH 44146-5970 | 2020-01-13 |
| 1487294237 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 37025 Aurora Rd, Solon, OH 44139-4662 | 2020-01-09 |
| 1508406356 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26365 Tryon Rd, Bedford, OH 44146-5969 | 2020-01-09 |
| 1912409913 | Heritage Healthcare LLC | Intermediate Care Facility, Mental Illness | 24 N Hamilton St, Minster, OH 45865-1117 | 2018-03-06 |
| 1215470935 | North Community Counseling Centers Inc | Intermediate Care Facility, Mental Illness | 4897 Karl Rd, Columbus, OH 43229-5147 | 2016-11-29 |
| 1477923423 | Steven Mates | Intermediate Care Facility, Mental Illness | 7695 Poe Ave, Dayton, OH 45414-2552 | 2015-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES.
| 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.