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
Last updated
Aug 7, 2024By the provider in NPPES
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

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 1801955240. Details of each certification follow.

  • CCN 36G718 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G718

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
HATTIE LARLHAM / BOETTLER HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 23, 2017
Last certification
Jul 30, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
1180 Boettler Road
Uniontown, OH 44685

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

7996 Darrow Rd
Ste 10
Twinsburg, OH 44087

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.