OAK GROVE MANOR MRDD NPI 1285762450

NPI Information

NPI: 1285762450
Provider Name: OAK GROVE MANOR MRDD
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1670 CRIDER RD
MANSFIELD, OH
ZIP 44903
Phone: (614) 459-2482
Get Directions

OAK GROVE MANOR MRDD is an intermediate care facility mentally retarded in Mansfield, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OAK GROVE MANOR MRDD NPI is 1285762450. The provider is registered as an organization entity type.

The provider's business location address is:

1670 CRIDER RD
MANSFIELD, OH
ZIP 44903-268
Phone: (614) 459-2482
Fax: (614) 459-2641

The provider's authorized official is Oscar G Aleman .
The authorized official title is Controller and has the following contact phone number (614) 459-2482.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		1783N	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	2561464	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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »