599 West Main Corporation
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Geneva, OH
NPI 1487866638 · NPPES record last updated Dec 31, 2018
Key facts
- NPI
- 1487866638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 1387 (OH)
- Legal business name
- 599 WEST MAIN CORPORATION
- Practice address
- 599 West Main St.
Geneva, OH 44041 - Phone
- (440) 466-1079
- Fax
- (440) 466-2081
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher Michael Tost
- Title
- Attorney/Chief Legal Officer
- Phone
- (216) 682-2118
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- 599 West Main Corporation
Locations
599 W Main St
Geneva, OH 44041
Phone (440) 466-1079
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 1387 | OH | Yes |
Addresses
Primary practice location
599 West Main St.
Geneva, OH 44041
Mailing address
599 West Main St.
PO Box 69
Geneva, OH 44041
Phone (440) 466-1079
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0378336 | Medicaid | OH |
Other names
- Homestead
Other providers in Geneva, OH
- Joy Yvonne (Martin) McGaha
- 599 West Main Corporation
- 599 West Manor Corp.
- 60 Geneva Health Care, Inc.
- 840 Sherman Healthcare, Inc.
- Hayley Acker
All providers in Geneva, OH · Intellectual Disabilities Intermediate Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.