Champaign Residential Services, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Mount Vernon, OH
NPI 1700258795 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1700258795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- CHAMPAIGN RESIDENTIAL SERVICES, INC.
- Practice address
- 106 McKinley Ave
Mount Vernon, OH 43050-8411 - Phone
- (937) 653-1320
- Fax
- (937) 653-1321
- NPI assigned
- Oct 29, 2015
- Organization subpart
- No
Authorized official
- Name
- Scott A Delong
- Title
- President
- Phone
- (937) 653-1320
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Champaign Residential Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | OH | Yes |
Addresses
Primary practice location
106 McKinley Ave
Mount Vernon, OH 43050-8411
Mailing address
1150 Scioto St
PO Box 29
Urbana, OH 43078-2289
Phone (937) 653-1320
Other names
- CRSI
Other providers in Mount Vernon, OH
- Kelly Lynn Casteel
- Central Ohio Eye Surgeons Inc
- Central Ohio Eye Surgeons, Inc
- Ricky Chambers Jr.
- Champaign Residential Services, Inc.
- Champaign Residential Services, Inc.
- Scott C Chandler
- Erica Chapman
- Sommer Cherryhomes
- Cindy K Thompson
All providers in Mount Vernon, 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 Oct 29, 2015. 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.