NPIMap

Organization Active NPI

Gentlebrook, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hartville, OH
National Provider Identifier
1780971762
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7601796 Issued in OH
Legal business name
GENTLEBROOK, INC.
Practice address
880 Sunnyside St SW
Hartville, OH 44632-9087
Phone
(330) 877-7700
Fax
(330) 877-7701
NPI assigned
Jun 29, 2011
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Michael D Sleutz
Title
Chief Operations Officer
Phone
(330) 877-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7601796 OH Primary

Addresses

Primary practice location

880 Sunnyside St SW
Hartville, OH 44632-9087

Mailing address

880 Sunnyside St SW
Hartville, OH 44632-9087
Phone (330) 877-7700

Other identifiers 1

IdentifierTypeStateIssuer
2274140MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Gentlebrook Home Health Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1780971762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SUNNYSIDE ST SW",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329087",
            "telephone_number": "330-877-7700",
            "fax_number": "330-877-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SUNNYSIDE ST SW",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329087",
            "telephone_number": "330-877-7700",
            "fax_number": "330-877-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLEBROOK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "SLEUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "330-877-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "7601796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.