Organization Active NPI

Elmwood Centers Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bellevue, OH
National Provider Identifier
1932207446
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7210075 Issued in OH
Legal business name
ELMWOOD CENTERS INC
Practice address
504 W Main St
Bellevue, OH 44811-1901
Phone
(419) 639-2581
Fax
(419) 639-2519
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Ms. Kathy K Hunt, ADMINISTRATOR
Title
Ceo
Phone
(419) 639-2581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7210075 OH Primary

Addresses

Primary practice location

504 W Main St
Bellevue, OH 44811-1901

Mailing address

430 N Broadway St
Green Springs, OH 44836-9601
Phone (419) 639-2581

Other identifiers 2

IdentifierTypeStateIssuer
36G272MedicaidOH
7210075OtherOHMRDD LICENSURE #

Other names 1

  • Elmpark Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Elmwood Centers4 organizations share this tax ID, including this one

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1932207446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369601",
            "telephone_number": "419-639-2581",
            "fax_number": "419-639-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W MAIN ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448111901",
            "telephone_number": "419-639-2581",
            "fax_number": "419-639-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-639-2581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "7210075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36G272",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDD LICENSURE #",
            "identifier": "7210075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmpark Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.