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GUERNSEY RESIDENTIAL INC. NPI 1740357888


NPI Information

NPI: 1740357888
Provider Name: GUERNSEY RESIDENTIAL, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
627 STEUBENVILLE AVE
CAMBRIDGE, OH
ZIP 43725
Phone: (740) 439-4271
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GUERNSEY RESIDENTIAL, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Cambridge, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GUERNSEY RESIDENTIAL, INC. NPI is 1740357888. The provider is registered as an organization entity type.

The provider's business location address is:

627 STEUBENVILLE AVE
CAMBRIDGE, OH
ZIP 43725-241
Phone: (740) 439-4271
Fax: (740) 439-2866

The provider's authorized official is Janice K Hall .
The authorized official title is Executive Director and has the following contact phone number (740) 439-4271.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/22/2020.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010164OHIONo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010155OHIONo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010280OHIONo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010271OHIONo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010299OHIONo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3010093OHIOYes

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
13000237MEDICAIDOHIO

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: 5/5/2024

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