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ELMWOOD VILLAGE NPI 1104098870


NPI Information

NPI: 1104098870
Provider Name: ELMWOOD VILLAGE

Other Name: ELMWOOD CENTERS INC

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
222 ACADEMY ST
GREEN SPRINGS, OH
ZIP 44836
Phone: (419) 639-0752
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ELMWOOD VILLAGE is an intermediate care facility mentally retarded in Green Springs, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ELMWOOD VILLAGE NPI is 1104098870. The provider is registered as an organization entity type.
The provider Other Name Is Elmwood Centers Inc.

The provider's business location address is:

222 ACADEMY ST
GREEN SPRINGS, OH
ZIP 44836
Phone: (419) 639-0752
Fax: (419) 639-0751

The provider's authorized official is Kathy K Hunt .
The authorized official title is Administrator and has the following contact phone number (419) 639-2581.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities7210273OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12806100OTHEROHIONPI
21104098870OTHEROHIONPI
3366336MEDICARE OSCAR/CERTIFICATIONOHIO

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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