Organization Active NPI

His Hands Residential

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Struthers, OH
National Provider Identifier
1881318707
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HIS HANDS RESIDENTIAL
Practice address
22 Yellow Creek Cir
Struthers, OH 44471-3114
Phone
(330) 506-1771
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Mrs. Tisa E EwingNPI 1881318798
Title
Doo
Phone
(330) 301-7929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

22 Yellow Creek Cir
Struthers, OH 44471-3114

Mailing address

22 Yellow Creek Cir
Struthers, OH 44471-3114
Phone (330) 506-1771

Other identifiers 1

IdentifierTypeStateIssuer
4935123OtherOHSTATE OF OHIO

Other names 1

  • His Hands Residential Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
His Hands Residential2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1881318707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 YELLOW CREEK CIR",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444713114",
            "telephone_number": "330-506-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 YELLOW CREEK CIR",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444713114",
            "telephone_number": "330-506-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HANDS RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "TISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "330-301-7929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO",
            "identifier": "4935123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Hands Residential",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Struthers, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.