Organization Active NPI

Starcher Family Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Apple Creek, OH
National Provider Identifier
1780893644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
8510490 Issued in OH
Legal business name
STARCHER FAMILY HOME
Practice address
5027 Dover Rd
Apple Creek, OH 44606-9694
Phone
(330) 201-0243
Fax
(330) 698-2970
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Sue Pahanish
Title
Owner
Phone
(330) 698-2970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 8510490 OH Primary

Addresses

Primary practice location

5027 Dover Rd
Apple Creek, OH 44606-9694

Mailing address

5027 Dover Rd
Apple Creek, OH 44606-9694
Phone (330) 201-0243

Other identifiers 2

IdentifierTypeStateIssuer
2003512MedicaidOH
8500134MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780893644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 DOVER RD",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069694",
            "telephone_number": "330-201-0243",
            "fax_number": "330-698-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 DOVER RD",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069694",
            "telephone_number": "330-201-0243",
            "fax_number": "330-698-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARCHER FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAHANISH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-698-2970"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "8510490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003512",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500134",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Creek, OH

Sources for this page

  • 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.