OHIO VALLEY RESIDENTIAL SERVICES INC NPI 1053489153

NPI Information

NPI: 1053489153
Provider Name: OHIO VALLEY RESIDENTIAL SERVICES INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 36D2251157

Address:
2261 VICTORY PKWY
CINCINNATI, OH
ZIP 45206
Phone: (513) 281-6800
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OHIO VALLEY RESIDENTIAL SERVICES INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Cincinnati, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OHIO VALLEY RESIDENTIAL SERVICES INC NPI is 1053489153. The provider is registered as an organization entity type.

The provider's business location address is:

2261 VICTORY PKWY
CINCINNATI, OH
ZIP 45206-821
Phone: (513) 281-6800
Fax: (513) 487-4787

The provider's authorized official is Michael Angelo Defrancesco .
The authorized official title is Executive Director and has the following contact phone number (513) 281-6800.

The CLIA number assigned to this NPI record is 36D2251157 - other - developmental disabilitie with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable	251V00000X	OHIO	No
2	347C00000X	Private Vehicle	347C00000X	OHIO	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0844788	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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