Guadalupe Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

4710076 Issued in OH

Legal business name

GUADALUPE HOME

Practice address

38023 Colorado Ave
Avon, OH 44011-1026

Phone

(440) 934-4825

Fax

(440) 934-4799

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

OUR LADY OF THE WAYSIDEAs reported in NPPES

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

Authorized official

Name

Mrs. Shirley Sharp

Title

Business Administrator

Phone

(440) 934-6152

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Elizabeth Lane Home8 organizations share this tax ID, including this one

Part of

Elizabeth Lane Home

Other organizations with this tax ID 7

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

• Elizabeth Lane Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Olmsted Falls, OH
  • NPI 1891946901
  NPD tax ID
• French Creek

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sheffield Village, OH
  • NPI 1437300530
  NPD tax ID
• Old Abbe Road Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sheffield Village, OH
  • NPI 1699926568
  NPD tax ID
• Our Lady of the Wayside

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Avon, OH
  • NPI 1306069752
  NPD tax ID
• Our Lady of the Wayside Inc.

  dba Wayside Ride

  • Non-emergency Medical Transport (VAN)
  • Avon, OH
  • NPI 1437505773
  NPD tax ID
• Thomas Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Avon, OH
  • NPI 1255621991
  NPD tax ID
• Weebles

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oberlin, OH
  • NPI 1417108382
  NPD tax ID

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1013168111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6152",
            "fax_number": "440-934-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38023 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111026",
            "telephone_number": "440-934-4825",
            "fax_number": "440-934-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE WAYSIDE",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "440-934-6152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "4710076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0870026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grady Podiatry LLC
• Kristina Grasso, PT, DPT
• Great Lakes Podiatry Center Inc
• Great Lakes Podiatry Center, Inc
• Paul Joseph Griesacker, PHARM D
• Kathleen Guilliams
• Elizabeth Habyl, LPC
• Jennifer Hall, M.A., CCC-SLP
• Diane P Hallagan
• Wendy Sue Hallier, O.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Avon, OH
• Providers in Avon, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.