NPIMap

Organization Active NPI

Warrensville Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Highland Hills, OH
National Provider Identifier
1619038239
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1812088 Issued in OH
Legal business name
WARRENSVILLE DEVELOPMENTAL CENTER
Practice address
4325 Green Rd
Highland Hills, OH 44128-4884
Phone
(216) 464-7400
Fax
(216) 464-4755
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
STATE OF OHIO DEPARTMENT OF MRDDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Wendy Digregorio
Title
Superintendent
Phone
(216) 464-7400

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812033 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812042 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812177 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812051 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812186 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812060 OH
Intellectual Disabilities Intermediate Care Facility 315P00000X 1812088 OH Primary

Addresses

Primary practice location

4325 Green Rd
Highland Hills, OH 44128-4884

Mailing address

4325 Green Rd
Highland Hills, OH 44128-4884
Phone (216) 464-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031202000209 OH Part B Supplier - Clinic/Group Practice 0143133181 Receives reassigned benefits from 261 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northfield, OH; Youngstown, OH; Toledo, OH; Tiffin, OH; Mt Vernon, OH; Mineral Ridge, OH; Massillon, OH; Huber Heights, OH…

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2252368Warrensville Developmental Center4325 Green Road, Highland Hills, OH 44128Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Pyschiatri41 organizations share this tax ID, including this one
Part of
Central Ohio Pyschiatri

Other organizations with this tax ID 40

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

View all 40

Locations

30 E Broad St
Rm 1301
Columbus, OH 43215

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1619038239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "216-464-7400",
            "fax_number": "216-464-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "216-464-7400",
            "fax_number": "216-464-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENSVILLE DEVELOPMENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF OHIO DEPARTMENT OF MRDD",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "DIGREGORIO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "216-464-7400"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812033",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812042",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812177",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812051",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812186",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812060",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1812088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.