NPIMap

Organization Active NPI

Ashtabula County Residential Services Corp.

  • Intellectual Disabilities Intermediate Care Facility
  • N Kingsville, OH
National Provider Identifier
1265608756
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0410013 Issued in OH
Legal business name
ASHTABULA COUNTY RESIDENTIAL SERVICES CORP.
Practice address
2956 E Center St
N Kingsville, OH 44068-0361
Phone
(440) 224-0662
Fax
(440) 224-0662
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Deborah L Maloy, RN
Title
Director
Phone
(440) 593-6027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0410013 OH Primary

Addresses

Primary practice location

2956 E Center St
N Kingsville, OH 44068-0361

Mailing address

29 Parrish Rd
Conneaut, OH 44030-1146
Phone (440) 593-6027

Other identifiers 1

IdentifierTypeStateIssuer
2508594MedicaidOH

Other names 1

  • Maples I Other name

National Provider Directory

National Provider Directory
Tax ID family
Ashtabula County Residential Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1265608756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PARRISH RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440301146",
            "telephone_number": "440-593-6027",
            "fax_number": "440-593-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 E CENTER ST",
            "city": "N KINGSVILLE",
            "state": "OH",
            "postal_code": "440680361",
            "telephone_number": "440-224-0662",
            "fax_number": "440-224-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTABULA COUNTY RESIDENTIAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MALOY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-593-6027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "0410013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2508594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maples I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N Kingsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.