Active NPI
Elmwood Centers Inc
- Intellectual Disabilities Intermediate Care Facility
- Bellevue, OH
National Provider Identifier
1932207446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 7210075
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36G272 | Medicaid | OH | |
| 7210075 | Other | OH | MRDD LICENSURE # |
Other names 1
- Elmpark Group Home
National Provider Directory
National Provider Directory- Tax ID family
- Elmwood Centers
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Green Springs, OH
- NPI 1730275579
-
- Intellectual Disabilities Intermediate Care Facility
- Green Springs, OH
- NPI 1790871283
-
- Intellectual Disabilities Intermediate Care Facility
- Green Springs, OH
- NPI 1922194497
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.