NPIMap

Organization Active NPI

Hattie Larlham Center for Children With Disablilites

  • Home Health Agency
  • Mantua, OH
National Provider Identifier
1417010067
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Practice address
9772 Diagonal Road
Mantua, OH 44255
Phone
(330) 274-2272
Fax
(330) 732-2467
NPI assigned
Dec 18, 2006
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Mr. Greg Snyder
Title
Cfo
Phone
(330) 840-6851

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 6701000 OH
Home Health Agency 251E00000X OH Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 6701000 OH
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X OH

Addresses

Primary practice location

9772 Diagonal Road
Mantua, OH 44255

Mailing address

9772 Diagonal Rd
Mantua, OH 44255-9128
Phone (330) 274-2272

Other identifiers 2

IdentifierTypeStateIssuer
2266435MedicaidOH
6701000MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Hattie Larlham Center for Children With Disabilities13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1417010067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 DIAGONAL RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559128",
            "telephone_number": "330-274-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 DIAGONAL ROAD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "44255",
            "telephone_number": "330-274-2272",
            "fax_number": "330-732-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-840-6851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "6701000",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "6701000",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2266435",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6701000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantua, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.