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HARTVILLE HOMES INC NPI 1477760908


NPI Information

NPI: 1477760908
Provider Name: HARTVILLE HOMES INC
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 36D1000916

Address:
844 SUNNYSIDE ST SW
HARTVILLE, OH
ZIP 44632
Phone: (330) 877-3694
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HARTVILLE HOMES INC is an intermediate care facility mentally retarded in Hartville, OH. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. HARTVILLE HOMES INC NPI is 1477760908. The provider is registered as an organization entity type.

The provider's business location address is:

844 SUNNYSIDE ST SW
HARTVILLE, OH
ZIP 44632-690
Phone: (330) 877-3694

The provider's authorized official is James F Reeves .
The authorized official title is Chief Executive Officer and has the following contact phone number (330) 244-0050.

The CLIA number assigned to this NPI record is 36D1000916 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded0477121OHIOYes

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
10477121MEDICAIDOHIO

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: 11/14/2023

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