NPIMap

Organization Active NPI

Gentlebrook, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Hartville, OH
National Provider Identifier
1366225682
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GENTLEBROOK, INC.
Practice address
328 Crestmont Avenue SW
Hartville, OH 44632-9087
Phone
(330) 877-7700
Fax
(330) 877-7701
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Lisa Ackerman
Title
Human Resources Manager
Phone
(330) 877-7700

Specialties & licenses 1

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

Addresses

Primary practice location

328 Crestmont Avenue SW
Hartville, OH 44632-9087

Mailing address

880 Sunnyside St SW
Hartville, OH 44632-9087
Phone (330) 877-7700

National Provider Directory

National Provider Directory
Tax ID family
The Homestead of Coshocton18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1366225682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SUNNYSIDE ST SW",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329087",
            "telephone_number": "330-877-7700",
            "fax_number": "330-877-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 CRESTMONT AVENUE SW",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329087",
            "telephone_number": "330-877-7700",
            "fax_number": "330-877-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLEBROOK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HUMAN RESOURCES MANAGER",
        "authorized_official_telephone_number": "330-877-7700"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.