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ALTERNATIVE RESIDENCES TWO INC NPI 1497962336


NPI Information

NPI: 1497962336
Provider Name: ALTERNATIVE RESIDENCES TWO INC

Other Name: RES-CARE OHIO, INC

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 36D0681724

Address:
11090 COUNTY ROAD 1
CHESAPEAKE, OH
ZIP 45619
Phone: (765) 668-0978
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ALTERNATIVE RESIDENCES TWO INC is an intermediate care facility mentally retarded in Chesapeake, 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. ALTERNATIVE RESIDENCES TWO INC NPI is 1497962336. The provider is registered as an organization entity type.
The provider Other Name Is Res-care Ohio, Inc.

The provider's business location address is:

11090 COUNTY ROAD 1
CHESAPEAKE, OH
ZIP 45619-019
Phone: (765) 668-0978

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The CLIA number assigned to this NPI record is 36D0681724 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/5/2008.


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, Mentally RetardedYes

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
12392834MEDICAIDOHIO

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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