Northampton Meadows

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1116AGH Issued in OH

Legal business name

NORTHAMPTON MEADOWS

Practice address

4557 Quick Rd
Peninsula, OH 44264-9794

Phone

(330) 923-7828

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WAYSIDE FARM SNFAs reported in NPPES

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

Authorized official

Name

Rebecca Pool, RN

Title

Administrator

Phone

(330) 923-7828

Specialties & licenses 1

Addresses

Part of

Northampton Meadows

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1316195506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 STATE RD",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649799",
            "telephone_number": "330-929-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 QUICK RD",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649794",
            "telephone_number": "330-923-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHAMPTON MEADOWS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYSIDE FARM SNF",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-923-7828",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "1116AGH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie McCasson
• Emily Rebecca McClimans
• Patricia Baxter McLaughlin
• Amy McMillin, PT
• Shari McMillion
• Northampton Physicians Inc
• Siu Ting Padrutt, RN
• Barry Lee Pamula, RPH
• Amy L. Patterson
• Loren Richard Pool, MD

• Mental Illness Community Based Residential Treatment Facility in Peninsula, OH
• Providers in Peninsula, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.