Lorain County Board of DD

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

36-G112 Issued in OH

Legal business name

LORAIN COUNTY BOARD OF DD

Practice address

4609 Meister Rd
Lorain, OH 44053-1530

Phone

(440) 282-3074

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amber L Fisher, DR. P.H.

Title

Superintendent

Phone

(440) 329-3734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEISTER ROAD ICF-MR Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G112

Legal name

MEISTER ROAD HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 18, 1983

Last certification

Nov 5, 2025

Beds

16

Ownership / control type

County

Facility address

4609 Meister Road
Lorain, OH 44053

Tax ID family

Lorain County Board of DD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lorain County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Elyria, OH
  • NPI 1285755975
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Itri A Eren, MD

  • Internal Medicine Physician
  • Lorain, OH
  • NPI 1861465809
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1609997303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 INFIRMARY RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354804",
            "telephone_number": "440-329-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 MEISTER RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531530",
            "telephone_number": "440-282-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN COUNTY BOARD OF DD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "440-329-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR. P.H."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "36-G112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0508043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEISTER ROAD ICF-MR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorain Chiropractic Center Inc
• Lorain City Health Department
• Lorain City School District
• Lorain County Alcohol & Drug Abuse Services, Inc.
• Lorain County Alcohol & Drug Abuse Services, Inc.
• Lorain County Community Action Agency
• Lorain County Health & Dentistry
• Lorain County Health & Dentistry
• Lorain County Health & Dentistry
• Lorain County Health & Dentistry

• Intellectual Disabilities Intermediate Care Facility in Lorain, OH
• Providers in Lorain, 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 May 17, 2016; 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.