HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES (NPI# 1912179755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912179755 |
| 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 | 3302742272 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MR. GREG SNYDER (CFO) |
| Authorized Official Telephone | 3308406851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | OH | Nursing & Custodial Care Facilities | |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0729322 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0729322 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1881064996 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Rd, Mantua, OH 44255-9128 | 2015-10-01 |
| 1649649799 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Rd, Mantua, OH 44255-9128 | 2015-09-18 |
| 1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
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| 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 |
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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.