Ottawa Valley Center, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OTTAWA VALLEY CENTER, INC.

Practice address

1325 S Seriff Rd
Lima, OH 45805-2818

Phone

(419) 999-5260

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Christy A Perrine

Title

Administrator/Executive Director

Phone

(419) 999-5260

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1235747320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S SERIFF RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052818",
            "telephone_number": "419-999-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S SERIFF RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052818",
            "telephone_number": "419-999-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3677 S Amblewood Cir",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458061318",
            "country_code": "US",
            "telephone_number": "419-999-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OTTAWA VALLEY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "PERRINE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-999-5260"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001943",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "0200197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Institute of Ohio, Inc.
• Miguel A Ortiz
• Sara Osman
• Adam Robert Osterhage, CNP
• Derek Oswald, DO
• Jeffrey Edward Otte, M.D.
• Michael Otto, PA-C
• Todd W Otto, PA-C
• Nicole Marie Ouattara, FNP-C
• Onysty Ousley

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lima, OH
• Providers in Lima, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.