ANNE GRADY CORPORATION NPI 1639252901

NPI Information

NPI: 1639252901
Provider Name: ANNE GRADY CORPORATION
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1525 EBER RD
HOLLAND, OH
ZIP 43528
Phone: (419) 866-6500
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ANNE GRADY CORPORATION is an intermediate care facility mentally retarded in Holland, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ANNE GRADY CORPORATION NPI is 1639252901. The provider is registered as an organization entity type.

The provider's business location address is:

1525 EBER RD
HOLLAND, OH
ZIP 43528-616
Phone: (419) 866-6500
Fax: (419) 866-7457

The provider's authorized official is Steven King .
The authorized official title is Executive Director and has the following contact phone number (419) 866-6500.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/15/2022.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		4800139	OHIO	No
2	343900000X	Non-emergency Medical Transport (VAN)				No
3	376J00000X	Homemaker				No
4	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	0523768	OHIO	No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0523768	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	4800139	MEDICAID	OHIO
2	0523768	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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