Walden Residential Centers

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

WALDEN RESIDENTIAL CENTERS

Practice address

750 Eastlawn St
Geneva, OH 44041-1715

Phone

(440) 466-3942

NPI assigned

Feb 15, 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

William Austin

Title

Administrator

Phone

(440) 466-3942

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730222027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EASTLAWN ST",
            "address_2": "PO BOX 207",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411715",
            "telephone_number": "440-466-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EASTLAWN ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440411715",
            "telephone_number": "440-466-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN RESIDENTIAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-466-3942"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Geneva on the Lake Inc
• Vincent B Cibella
• Jo Ann Volpe, R.PH.
• Hannah Wade, CCC-SLP
• Sharon Sanborn Wagamon, MD
• Shauntae Renee Walker, LPCC
• Monica Nicole Ward, LPN
• Jean Nicole White
• Lee White
• Anna Wood, L.P.N

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Geneva, OH
• Providers in Geneva, OH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.