Active NPI
Minamyer Residential Care Services, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Worthington, OH
National Provider Identifier
1083218390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- MINAMYER RESIDENTIAL CARE SERVICES, INC.
- Practice address
- 600 Lakeview Plaza Blvd Ste a
Worthington, OH 43085-4799 - Phone
- (614) 802-0190
- NPI assigned
- Nov 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leigh Ann Thompson
- Title
- VP Controller
- Phone
- (615) 948-6597
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
600 Lakeview Plaza Blvd Ste a
Worthington, OH 43085-4799
Mailing address
600 Lakeview Plaza Blvd Ste a
Worthington, OH 43085-4799
Phone (614) 802-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0153559 | Medicaid | OH |
Other names 1
- Beacon MRCS
National Provider Directory
National Provider DirectoryLocations
967 Worthington Woods Loop Rd
Worthington, OH 43085
Phone (614) 330-3073
600 Lakeview Plaza Blvd
Ste A
Worthington, OH 43085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1083218390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LAKEVIEW PLAZA BLVD STE A",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430854799",
"telephone_number": "614-802-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LAKEVIEW PLAZA BLVD STE A",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430854799",
"telephone_number": "614-802-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINAMYER RESIDENTIAL CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-27",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "LEIGH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VP CONTROLLER",
"authorized_official_telephone_number": "615-948-6597"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0153559",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beacon MRCS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.