LORAIN COUNTY BOARD OF DD NPI 1609997303

NPI Information

NPI: 1609997303
Provider Name: LORAIN COUNTY BOARD OF DD

Other Name: MEISTER ROAD ICF-MR

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4609 MEISTER RD
LORAIN, OH
ZIP 44053
Phone: (440) 282-3074
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LORAIN COUNTY BOARD OF DD is an intermediate care facility mentally retarded in Lorain, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LORAIN COUNTY BOARD OF DD NPI is 1609997303. The provider is registered as an organization entity type.
The provider Other Name Is Meister Road Icf-mr.

The provider's business location address is:

4609 MEISTER RD
LORAIN, OH
ZIP 44053-530
Phone: (440) 282-3074

The provider's authorized official is Amber L Fisher .
The authorized official title is Superintendent and has the following contact phone number (440) 329-3734.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 5/17/2016.

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		36-G112	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	0508043	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

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