NPIMap

Organization Active NPI

Hattie Larlham Center for Children With Disablilites

  • Mental Illness Intermediate Care Facility
  • Uniontown, OH
National Provider Identifier
1801955240
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Practice address
1180 Boettler Rd
Uniontown, OH 44685-9505
Phone
(330) 274-2272
Fax
(330) 732-2467
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Gregory Snyder
Title
Cfo
Phone
(330) 840-6851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 6700127 OH
Mental Illness Intermediate Care Facility 310500000X OH Primary

Addresses

Primary practice location

1180 Boettler Rd
Uniontown, OH 44685-9505

Mailing address

9772 Diagonal Rd
Mantua, OH 44255-9128
Phone (330) 840-6851

Other identifiers 4

IdentifierTypeStateIssuer
0269874MedicaidOH
0244828MedicaidOH
6700127MedicaidOH
0729322MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Hattie Larlham Center for Children With Disabilities13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1180 Boettler Rd
Green, OH 44685
Phone (234) 706-3709

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1801955240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9772 DIAGONAL RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559128",
            "telephone_number": "330-840-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BOETTLER RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859505",
            "telephone_number": "330-274-2272",
            "fax_number": "330-732-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-840-6851"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "OH",
            "license": "6700127",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269874",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244828",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700127",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.