NPIMap

Organization Active NPI

Echoing Hills Village, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Canal Fulton, OH
National Provider Identifier
1164582953
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7610231 Issued in OH
Legal business name
ECHOING HILLS VILLAGE, INC.
Practice address
643 Beverly Ave
Canal Fulton, OH 44614-9384
Phone
(330) 854-6621
Fax
(330) 854-4326
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mr. John R Swanson
Title
Executive Vice President
Phone
(740) 327-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7610231 OH Primary

Addresses

Primary practice location

643 Beverly Ave
Canal Fulton, OH 44614-9384

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0512216MedicaidOH
9117OtherOHOHIO DEPT. OF HEALTH ID #

Other names 1

  • Echoing Ridge Residential Center Doing business as

National Provider Directory

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

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1164582953",
    "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",
            "fax_number": "740-327-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 BEVERLY AVE",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446149384",
            "telephone_number": "330-854-6621",
            "fax_number": "330-854-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOING HILLS VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "740-327-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "7610231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512216",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF HEALTH ID #",
            "identifier": "9117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echoing Ridge Residential Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.