Organization Active NPI

Union Christel Manor, Inc.

Doing business as Ucm Residential Services

  • Intellectual Disabilities Intermediate Care Facility
  • Union City, OH
National Provider Identifier
1750467510
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1707N Issued in OH
Legal business name
UNION CHRISTEL MANOR, INC.
Doing business as
Ucm Residential Services
Practice address
400 S Melvin Eley Ave
Union City, OH 45390-8611
Phone
(937) 968-6265
Fax
(937) 968-6883
NPI assigned
Oct 27, 2006
Last updated
May 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Mr. Robert Sydney Thompson
Title
President/Treasurer
Phone
(937) 643-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1707N OH Primary

Addresses

Primary practice location

400 S Melvin Eley Ave
Union City, OH 45390-8611

Mailing address

400 S Melvin Eley Ave
Union City, OH 45390-8611
Phone (937) 968-6265

Other names 1

  • UCM RESIDENTIAL SERVICES 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 1750467510. Details of each certification follow.

  • CCN 36G085 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G085

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
UNION CITY CHRISTEL MANOR
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 4, 1979
Last certification
Jul 17, 2025
Beds
43
Ownership / control type
Private (proprietary)
Facility address
400 South Melvin-Eley Avenue
Union City, OH 45390

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
36D0675630Union Christel Manor400 S Melvin Eley Avenue, Union City, OH 45390Certificate of waiverAug 31, 2026
36D2202677Ucm Residential Services400 South Melvin-Eley Avenue, Union City, OH 45390Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1750467510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MELVIN ELEY AVE",
            "city": "UNION CITY",
            "state": "OH",
            "postal_code": "453908611",
            "telephone_number": "937-968-6265",
            "fax_number": "937-968-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MELVIN ELEY AVE",
            "city": "UNION CITY",
            "state": "OH",
            "postal_code": "453908611",
            "telephone_number": "937-968-6265",
            "fax_number": "937-968-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CHRISTEL MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SYDNEY",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "937-643-3757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "1707N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCM RESIDENTIAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, OH

Sources for this page

Verify at the official NPI Registry.