Mount Aloysius Corp.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MOUNT ALOYSIUS CORP.

Practice address

5375 Tile Plant Road
New Lexington, OH 43764

Phone

(740) 342-3343

Fax

(740) 342-4805

NPI assigned

Apr 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Ann Arbaugh

Title

Administrator

Phone

(740) 342-3343

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548487101. Details of each certification follow.

• CCN 36G271 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G271

Legal name

MOUNT ALOYSIUS CORP

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 5, 1988

Last certification

Nov 25, 2024

Beds

72

Ownership / control type

Private (non-profit)

Facility address

5375 Tile Plant Road
New Lexington, OH 43764

Tax ID family

Mount Aloysius Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Glow House

  • Intellectual Disabilities Intermediate Care Facility
  • New Lexington, OH
  • NPI 1366771883
  NPD tax ID
• Mount Aloysius Corp.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Lexington, OH
  • NPI 1629998950
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Glow House

  • Intellectual Disabilities Intermediate Care Facility
  • New Lexington, OH
  • NPI 1366771883
  NPPES parent name
• Mount Aloysius Corp.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Lexington, OH
  • NPI 1629998950
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leroy Brian Varney, MD

  • Family Medicine Physician
  • Lancaster, OH
  • NPI 1790756740
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548487101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 598",
            "address_2": "5375 TILE PLANT ROAD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "43764",
            "telephone_number": "740-342-3343",
            "fax_number": "740-342-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 TILE PLANT ROAD",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "43764",
            "telephone_number": "740-342-3343",
            "fax_number": "740-342-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ALOYSIUS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARBAUGH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-342-3343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0690088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Milner, LSW
• Amber Dawn Moore, S.T.N.A
• Christopher Moore
• Abby Moorman
• Lora Morehouse
• Mount Aloysius Corp.
• Edward P Nash, DDS
• Lawrence E. Nash, DMD
• Nancy Jeanette Neira
• New Lexington City Schools

• Intellectual Disabilities Intermediate Care Facility in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.