KATINA NICHOLS (NPI# 1912311937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912311937 |
| Entity Type | Individual |
| Full Name | KATINA NICHOLS |
| Practice Address |
2645 Blue Heron Dr Hudson OH 44236-1868 |
| Practice Telephone | 4432269791 |
| Mailing Telephone | 4432269791 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 0 | OH | Residential Treatment Facilities |
| Street Address |
2645 BLUE HERON DR |
| City | HUDSON |
| State | OH |
| Zip Code | 44236-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720633464 | Angela Patricia Smith | Nurse Practitioner | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881195477 | Amber Sommer | Dietitian, Registered | 1742 Georgetown Road, Hudson, OH 44236 | 2018-02-28 |
| 1184149585 | Elena A Berman | Technician | 2654 Blue Heron Dr, Hudson, OH 44236 | 2017-08-07 |
| 1114390671 | Costco Wholesale Corporation | Pharmacy | 6720 Bass Pro Rd, Boston Heights, OH 44236 | 2015-11-05 |
| 1972975803 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Bass Pro Drive, Boston Heights, OH 44236 | 2015-10-30 |
| 1841695624 | The Hair Specialists | Anaplastologist | 180 W. Streetsboro St, Hudson, OH 44236 | 2014-10-23 |
| 1326441163 | Haley E Dunn | Counselor | 10 W. Streetsboro St., 107, Hudson, OH 44236 | 2014-10-08 |
| 1538578000 | Hudson Elms | Skilled Nursing Facility | 563 West Streetsboro Street, Hudson, OH 44236 | 2014-08-08 |
| 1316375215 | Mary Meghan Folino Hylton | Nurse Practitioner | 5655 Hudson Dr Ste 301, Hudson, OH 44236 | 2013-10-31 |
| 1225382708 | Stamatios Tripodis | Physical Therapist | 1310 Corporate Drive, Hudson, OH 44236 | 2012-11-05 |
| 1881943199 | Susan Belle Ujvari | Licensed Practical Nurse | 1661 Sapphire Drive, Hudson, OH 44236 | 2012-08-31 |
| Find all providers in zip 44236 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
| 1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
| 1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
| 1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
| 1245262799 | Lutheran Homes Society, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2006-07-07 |
| 1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1184687030 | Oak Ridge Treatment Center Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 115 Private Road 977 County Road 44 North, Pedro, OH 45659 | 2006-04-11 |
| 1528035631 | Positive Education Program | Residential Treatment Facility, Emotionally Disturbed Children | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATINA NICHOLS.
| 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.