NPIMap

Organization Active NPI

Hattie Larlham Center for Children With Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Solon, OH
National Provider Identifier
1881064996
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2561919 Issued in OH
Legal business name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Practice address
37125 Aurora Rd
Solon, OH 44139-4659
Phone
(330) 274-2272
NPI assigned
Oct 1, 2015
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
Greg Snyder
Title
Cfo
Phone
(330) 840-6851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2561919 OH Primary

Addresses

Primary practice location

37125 Aurora Rd
Solon, OH 44139-4659

Mailing address

9772 Diagonal Rd
Mantua, OH 44255-9128
Phone (330) 274-2272

Other identifiers 1

IdentifierTypeStateIssuer
2561919MedicaidOH

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 1881064996. Details of each certification follow.

  • CCN 36G609 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G609

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 / AURORA HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 20, 2005
Last certification
Dec 14, 2023
Beds
8
Ownership / control type
Private (non-profit)
Facility address
37125 Aurora Road
Solon, OH 44139

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.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1881064996",
    "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": "330-274-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37125 AURORA RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441394659",
            "telephone_number": "330-274-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-840-6851"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "2561919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561919",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.