ASHTABULA COUNTY RESIDENTIAL SERVICES NPI 1528234010

NPI Information

NPI: 1528234010
Provider Name: ASHTABULA COUNTY RESIDENTIAL SERVICES

Other Name: MAPLES II

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
27 PARRISH RD
CONNEAUT, OH
ZIP 44030
Phone: (440) 593-6404
Get Directions

ASHTABULA COUNTY RESIDENTIAL SERVICES is an intermediate care facility mentally retarded in Conneaut, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ASHTABULA COUNTY RESIDENTIAL SERVICES NPI is 1528234010. The provider is registered as an organization entity type.
The provider Other Name Is Maples Ii.

The provider's business location address is:

27 PARRISH RD
CONNEAUT, OH
ZIP 44030-146
Phone: (440) 593-6404
Fax: (440) 593-6007

The provider's authorized official is Deborah L Maloy .
The authorized official title is Director and has the following contact phone number (440) 593-6027.

The enumeration date for this NPI number is 5/5/2008 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0410059	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	0492346	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

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