NPIMap

Organization Active NPI

Living Opportunities

Doing business as Kimball

  • Intellectual Disabilities Intermediate Care Facility
  • Madison, OH
National Provider Identifier
1780043588
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
28268 Issued in OH
Legal business name
LIVING OPPORTUNITIES
Doing business as
Kimball
Practice address
3142 County Line Rd
Madison, OH 44057-9705
Phone
(440) 466-1678
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVING OPPORTUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mr. William B Austin
Title
President
Phone
(440) 466-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 28268 OH Primary

Addresses

Primary practice location

3142 County Line Rd
Madison, OH 44057-9705

Mailing address

3142 N County Line Rd
P.O. Box 271
Geneva, OH 44041-7604
Phone (440) 466-1678

Other identifiers 2

IdentifierTypeStateIssuer
0077944MedicaidOH
0217214MedicaidOH

Other names 1

  • Kimball Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Living Opportunities Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1780043588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 N COUNTY LINE RD",
            "address_2": "P.O. BOX 271",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440417604",
            "telephone_number": "440-466-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 COUNTY LINE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579705",
            "telephone_number": "440-466-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OPPORTUNITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING OPPORTUNITIES, INC.",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-466-1678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "28268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077944",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217214",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimball",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.