YOUNGSTOWN DEVELOPMENTAL CENTER NPI 1073638458

NPI Information

  • NPI: 1073638458
  • Provider Name: YOUNGSTOWN DEVELOPMENTAL CENTER
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 4891 E COUNTY LINE RD
    MINERAL RIDGE, OH
    ZIP 44440
  • Phone: (330) 544-2231

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NPI Details

YOUNGSTOWN DEVELOPMENTAL CENTER is an intermediate care facility mentally retarded in Mineral Ridge, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. YOUNGSTOWN DEVELOPMENTAL CENTER NPI is 1073638458. The provider is registered as an organization entity type.

The provider's business location address is:

4891 E COUNTY LINE RD
MINERAL RIDGE, OH
ZIP 44440-411
Phone: (330) 544-2231
Fax: (330) 544-3519

The provider's authorized official is Cynthia M. Renner .
The authorized official title is Superintendent and has the following contact phone number (330) 544-2231.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/30/2008.

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 Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities36G589OHIOYes

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
19333786MEDICARE UPINOHIO
22396134MEDICAIDOHIO

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: 11/21/2025

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