NPIMap

Organization Active NPI

Echoing Hills Village, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Elyria, OH
National Provider Identifier
1003978073
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4710647 Issued in OH
Legal business name
ECHOING HILLS VILLAGE, INC.
Practice address
175 Chadwick CT
Elyria, OH 44035-4669
Phone
(440) 323-0915
Fax
(440) 323-7418
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John R Swanson
Title
Executive Vice President
Phone
(740) 327-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4710647 OH Primary

Addresses

Primary practice location

175 Chadwick CT
Elyria, OH 44035-4669

Mailing address

36272 County Road 79
Warsaw, OH 43844-9770
Phone (740) 327-2311

Other identifiers 2

IdentifierTypeStateIssuer
0936894MedicaidOH
9452OtherOHOHIO DEPT OF HEALTH NO.

Other names 1

  • Echoing Lake - Engram Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Echoing Hills Village Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1003978073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36272 COUNTY ROAD 79",
            "city": "WARSAW",
            "state": "OH",
            "postal_code": "438449770",
            "telephone_number": "740-327-2311",
            "fax_number": "740-327-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CHADWICK CT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354669",
            "telephone_number": "440-323-0915",
            "fax_number": "440-323-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOING HILLS VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "740-327-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "4710647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936894",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT OF HEALTH NO.",
            "identifier": "9452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echoing Lake - Engram Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.