NPIMap

Organization Active NPI

Tiffin Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Tiffin, OH
National Provider Identifier
1275686602
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
36G588 Issued in OH
Legal business name
TIFFIN DEVELOPMENTAL CENTER
Practice address
600 N River Rd
Tiffin, OH 44883-1173
Phone
(419) 447-1450
Fax
(419) 448-6506
NPI assigned
Jan 19, 2007
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF OHIO DEPT. OF DDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Mrs. Lois M McQuistion
Title
Account Clerk
Phone
(419) 447-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 36G588 OH Primary

Addresses

Primary practice location

600 N River Rd
Tiffin, OH 44883-1173

Mailing address

600 N River Rd
Tiffin, OH 44883-1173
Phone (419) 447-1450

Other identifiers 1

IdentifierTypeStateIssuer
2396107MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031202000209 OH Part B Supplier - Clinic/Group Practice 0143133181 Receives reassigned benefits from 261 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northfield, OH; Youngstown, OH; Toledo, OH; Tiffin, OH; Mt Vernon, OH; Mineral Ridge, OH; Massillon, OH; Huber Heights, OH…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275686602. Details of each certification follow.

  • CCN 36G588 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G588

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TIFFIN DEVELOPMENTAL CENTER
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 18, 2003
Last certification
Feb 13, 2025
Beds
80
Ownership / control type
State
Facility address
600 North River Road
Tiffin, OH 44883

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1003975Tiffin Developmental Center600 North River Road, Tiffin, OH 44883Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Psych Healt39 organizations share this tax ID, including this one
Part of
Appalachian Psych Healt

Other organizations with this tax ID 38

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

View all 38

Locations

600 N River Rd
Tiffin, OH 44883
Phone (419) 443-3143

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1275686602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N RIVER RD",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831173",
            "telephone_number": "419-447-1450",
            "fax_number": "419-448-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N RIVER RD",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831173",
            "telephone_number": "419-447-1450",
            "fax_number": "419-448-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFIN DEVELOPMENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF OHIO DEPT. OF DD",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "MCQUISTION",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNT CLERK",
        "authorized_official_telephone_number": "419-447-1450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "36G588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2396107",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.