NPIMap

Organization Active NPI

Hattie Larlham Center for Children With Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Mantua, OH
National Provider Identifier
1649649799
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0244828 Issued in OH
Legal business name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Practice address
9772 Diagonal Rd
Mantua, OH 44255-9128
Phone
(330) 840-6851
NPI assigned
Sep 18, 2015
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Gregory Snyder
Title
Cfo
Phone
(330) 840-6851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0244828 OH Primary

Addresses

Primary practice location

9772 Diagonal Rd
Mantua, OH 44255-9128

Mailing address

9772 Diagonal Rd
Mantua, OH 44255-9160
Phone (330) 840-6851

Other identifiers 1

IdentifierTypeStateIssuer
0244828MedicaidOH

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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1649649799",
    "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": "442559160",
            "telephone_number": "330-840-6851",
            "fax_number": "330-732-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9772 DIAGONAL RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559128",
            "telephone_number": "330-840-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-840-6851"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "0244828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244828",
            "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 Jul 10, 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.