Richwood Residential Centers, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0410237 Issued in OH

Legal business name

RICHWOOD RESIDENTIAL CENTERS, INC

Practice address

81 Walnut St
Geneva, OH 44041-1829

Phone

(440) 466-0733

Fax

(440) 466-0732

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Bill Stacho

Title

President

Phone

(440) 466-0733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G327

Legal name

RICHWOOD RES CTRS INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Mar 15, 1989

Last certification

Jun 18, 2024

Beds

8

Ownership / control type

Private (proprietary)

Facility address

81 Walnut St
Geneva, OH 44041

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh Agarwal, M.D.

  • Specialist
  • Mayfield Heights, OH
  • NPI 1285618579
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013122282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WALNUT ST",
            "address_2": "P.O. BOX 769",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411829",
            "telephone_number": "440-466-0733",
            "fax_number": "440-466-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WALNUT ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411829",
            "telephone_number": "440-466-0733",
            "fax_number": "440-466-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHWOOD RESIDENTIAL CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACHO",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-466-0733"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "0410237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0750138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Geneva, OH
• Providers in Geneva, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.