SCIOTO GROUP HOME INC. NPI 1538436340

NPI Information

NPI: 1538436340
Provider Name: SCIOTO GROUP HOME, INC.

Doing Business As: SCIOTO TRAILS CHALET

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
374 GOOD MANOR RD
LUCASVILLE, OH
ZIP 45648
Phone: (740) 289-2861
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SCIOTO GROUP HOME, INC. is an intermediate care facility mentally retarded in Lucasville, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SCIOTO GROUP HOME, INC. NPI is 1538436340. The provider is registered as an organization entity type.
The provider Is Doing Business As Scioto Trails Chalet.

The provider's business location address is:

374 GOOD MANOR RD
LUCASVILLE, OH
ZIP 45648-606
Phone: (740) 289-2861
Fax: (740) 289-4355

The provider's authorized official is Brian Colleran .
The authorized official title is President and has the following contact phone number (440) 614-0160.

The CLIA number assigned to this NPI record is 36D0930653 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 12/23/2011.

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				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	6610153	OTHER	OHIO	DODD FACILITY NUMBER

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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