NPIMap

Geauga County Board of Mental Retardation & Developmental Disabilities

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Chesterland, OH

NPI 1124154059 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1124154059
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
GEAUGA COUNTY BOARD OF MENTAL RETARDATION & DEVELOPMENTAL DISABILITIES
Practice address
8200 Cedar Rd
Chesterland, OH 44026-3550
Phone
(440) 729-9406
Fax
(440) 729-0131
NPI assigned
Feb 26, 2007
Organization subpart
No

Authorized official

Name
Mr. Donald L Rice II
Title
Superintendent
Phone
(440) 729-9406

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Geauga County Board of Developmental Disabilities (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

8200 Cedar Rd
Chesterland, OH 44026-3550

Mailing address

8200 Cedar Rd
Chesterland, OH 44026-3550
Phone (440) 729-9406

Other identifiers

IdentifierTypeStateIssuer
0860117MedicaidOH

Other names

  • Metzenbaum Center Doing business as

Other providers in Chesterland, OH

All providers in Chesterland, OH · Intellectual Disabilities Intermediate Care Facility in Ohio

Sources for this page

Verify at the official NPI Registry.