NPIMap

Organization Active NPI

Living Opportunities, Inc.

Doing business as Kimball Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Madison, OH
National Provider Identifier
1861862336
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
28268 Issued in OH
Legal business name
LIVING OPPORTUNITIES, INC.
Doing business as
Kimball Home
Practice address
6873 Dave Drive
Madison, OH 44057
Phone
(440) 466-1678
Fax
(440) 466-5696
NPI assigned
Sep 28, 2015
Organization subpart
Yes
Parent organization
LIVING OPPORTUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mr. William B. Austin, L.N.H.A.
Title
Licensed Nursing Home Admin/Owner
Phone
(440) 466-1678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 28268 OH Primary

Addresses

Primary practice location

6873 Dave Drive
Madison, OH 44057

Mailing address

PO Box 271
Geneva, OH 44041-0271
Phone (440) 466-1678

Other names 1

  • Kimball Home Doing business as

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 1861862336. Details of each certification follow.

  • CCN 36G699 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G699

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
KIMBALL HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 17, 2016
Last certification
Nov 13, 2025
Beds
5
Ownership / control type
Private (proprietary)
Facility address
6873 Dave Drive
Madison, OH 44057

National Provider Directory

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

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": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1861862336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440410271",
            "telephone_number": "440-466-1678",
            "fax_number": "440-466-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6873 DAVE DRIVE",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "44057",
            "telephone_number": "440-466-1678",
            "fax_number": "440-466-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OPPORTUNITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING OPPORTUNITIES, INC.",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "LICENSED NURSING HOME ADMIN/OWNER",
        "authorized_official_telephone_number": "440-466-1678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "28268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimball Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, OH

Sources for this page

Verify at the official NPI Registry.