ELMWOOD CENTERS INC NPI 1922194497

NPI Information

NPI: 1922194497
Provider Name: ELMWOOD CENTERS INC

Other Name: ELMVUE GROUP HOME

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

Address:
220 ACADEMY ST
GREEN SPRINGS, OH
ZIP 44836
Phone: (419) 639-2301
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ELMWOOD CENTERS INC is an intermediate care facility mentally retarded in Green Springs, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ELMWOOD CENTERS INC NPI is 1922194497. The provider is registered as an organization entity type.
The provider Other Name Is Elmvue Group Home.

The provider's business location address is:

220 ACADEMY ST
GREEN SPRINGS, OH
ZIP 44836-655
Phone: (419) 639-2301
Fax: (419) 639-2519

The provider's authorized official is Kathy K Hunt .
The authorized official title is Ceo and has the following contact phone number (419) 639-2581.

The CLIA number assigned to this NPI record is 36D0890840 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/14/2008.

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		7210271	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	7210271	OTHER	OHIO	MRDD LICENSURE #
2	366336	MEDICARE OSCAR/CERTIFICATION	OHIO
3	1922194497	OTHER		NPI
4	36G570	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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