NPIMap

Organization Active NPI

Echoing Hills Village, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Canal Fulton, OH
National Provider Identifier
1073365870
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ECHOING HILLS VILLAGE, INC.
Practice address
346 Waterside Ave
Canal Fulton, OH 44614-1249
Phone
(330) 854-6621
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ECHOING HILLS VILLAGE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Mark Snyder
Title
Chief Financial Officer
Phone
(740) 327-2311

Specialties & licenses 1

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

Addresses

Primary practice location

346 Waterside Ave
Canal Fulton, OH 44614-1249

Mailing address

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

Other names 1

  • Echoing Ridge Waterside South Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073365870. Details of each certification follow.

  • CCN 36G785 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G785

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ECHOING RIDGE WATERSIDE EAST
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 1, 2025
Last certification
Jan 29, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
346 Waterside Avenue
Canal Fulton, OH 44614

National Provider Directory

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

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1073365870",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 WATERSIDE AVE",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446141249",
            "telephone_number": "330-854-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOING HILLS VILLAGE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECHOING HILLS VILLAGE INC.",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "740-327-2311"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echoing Ridge Waterside South Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canal Fulton, OH

Sources for this page

Verify at the official NPI Registry.