Our Lady of the Wayside

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

4700514 Issued in OH

Legal business name

OUR LADY OF THE WAYSIDE

Practice address

38135 Colorado Ave
Avon, OH 44011-1028

Phone

(440) 934-6007

Fax

(440) 934-6327

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terry Davis

Title

Ceo

Phone

(440) 934-6007

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Guadalupe Home8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• Elizabeth Lane Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Olmsted Falls, OH
  • NPI 1891946901
  NPD tax ID
• French Creek

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sheffield Village, OH
  • NPI 1437300530
  NPD tax ID
• Guadalupe Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Avon, OH
  • NPI 1013168111
  NPD tax ID
• Old Abbe Road Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Sheffield Village, OH
  • NPI 1699926568
  NPD tax ID
• Our Lady of the Wayside Inc.

  • Non-emergency Medical Transport (VAN)
  • Avon, OH
  • NPI 1437505773
  NPD tax ID
• Thomas Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Avon, OH
  • NPI 1255621991
  NPD tax ID
• Weebles

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oberlin, OH
  • NPI 1417108382
  NPD tax ID

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1306069752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6007",
            "fax_number": "440-934-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38135 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111028",
            "telephone_number": "440-934-6007",
            "fax_number": "440-934-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE WAYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-934-6007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "4700514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUR LADY OF THE WAYSIDE",
            "identifier": "4700514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Omalley, LPCC
• Orthopaedic Associates, Inc.
• Irene Orynchak, R.PH.
• Joseph Michael Oswalt
• Brady Kahlig Otten, MD
• Our Lady of the Wayside Inc.
• Catherine Owen
• Emily Ann Palmer, B.S., NBC-HIS
• Rituraj Singh Panwar, PT
• John J. Parente, DO

• All providers in Avon, OH
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.