Bittersweet Inc.

Primary specialty

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

License

4810057 CERT- 25785 Issued in OH

Legal business name

BITTERSWEET INC.

Doing business as

Bittersweet Farms

Practice address

12660 Archbold Whitehouse Rd
Finance Department
Whitehouse, OH 43571-9566

Phone

(419) 875-6986

Fax

(419) 875-5593

NPI assigned

Oct 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Lulfs

Title

Chief Financial Officer

Phone

(419) 875-6986

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bittersweet Farms Doing business as

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 1104900885. Details of each certification follow.

• CCN 36G160 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G160

Legal name

BITTERSWEET FARMS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 30, 1984

Last certification

Nov 20, 2025

Beds

20

Ownership / control type

Private (non-profit)

Facility address

12660 Archbold-Whitehouse Road
Whitehouse, OH 43571

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Edward Pierce, M.D.

  • Family Medicine Physician
  • Perrysburg, OH
  • NPI 1598755712
  NPD (past)
• Melanie Dyana Sears, BCBA

  • Behavior Analyst
  • South Euclid, OH
  • NPI 1710739271
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104900885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 ARCHBOLD WHITEHOUSE RD",
            "address_2": "FINANCE DEPARTMENT",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719566",
            "telephone_number": "419-875-6986",
            "fax_number": "419-875-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 ARCHBOLD WHITEHOUSE RD",
            "address_2": "FINANCE DEPARTMENT",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719566",
            "telephone_number": "419-875-6986",
            "fax_number": "419-875-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERSWEET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LULFS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "419-875-6986",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "4810057 CERT- 25785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550710",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bittersweet Farms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Whitehouse, OH
• Providers in Whitehouse, 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 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.