NPIMap

Organization Active NPI

Echoing Hills Village, Inc.

Doing business as Echoing Lake Brown Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Amherst, OH
National Provider Identifier
1740342971
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
4710594 Issued in OH
Legal business name
ECHOING HILLS VILLAGE, INC.
Doing business as
Echoing Lake Brown Group Home
Practice address
890 Terra LN
Amherst, OH 44001-1172
Phone
(440) 985-1858
Fax
(440) 985-1863
NPI assigned
Dec 14, 2006
Last updated
Feb 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
John R Swanson
Title
Executive Vice President
Phone
(740) 327-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 4710594 OH Primary

Addresses

Primary practice location

890 Terra LN
Amherst, OH 44001-1172

Mailing address

36272 County Road 79
Warsaw, OH 43844-9770
Phone (740) 327-2311

Other identifiers 2

IdentifierTypeStateIssuer
9412OtherOHOHIO DEPT OF HEALTH NO
0870124MedicaidOH

Other names 1

  • Echoing Lake Brown Group Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740342971. Details of each certification follow.

  • CCN 36G438 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G438

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ECHOING LAKE / BROWN HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 26, 1992
Last certification
Oct 3, 2023
Beds
8
Ownership / control type
Private (non-profit)
Facility address
890 Terra Lane
Amherst, OH 44001

National Provider Directory

National Provider Directory
Tax ID family
Echoing Hills Village Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1740342971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36272 COUNTY ROAD 79",
            "city": "WARSAW",
            "state": "OH",
            "postal_code": "438449770",
            "telephone_number": "740-327-2311",
            "fax_number": "740-327-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 TERRA LN",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011172",
            "telephone_number": "440-985-1858",
            "fax_number": "440-985-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOING HILLS VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "740-327-2311"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "4710594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT OF HEALTH NO",
            "identifier": "9412",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0870124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echoing Lake Brown Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.