NPIMap

Organization Active NPI

Toward Independence Inc.

  • Nursing Facility/Intermediate Care Facility
  • Xenia, OH
National Provider Identifier
1972981322
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2910194 Issued in OH
Legal business name
TOWARD INDEPENDENCE INC.
Practice address
1841 Pueblo Dr
Xenia, OH 45385-4228
Phone
(937) 376-3996
NPI assigned
May 18, 2015
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Mr. Mark J Schlater
Title
Executive Director
Phone
(937) 376-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2910194 OH Primary

Addresses

Primary practice location

1841 Pueblo Dr
Xenia, OH 45385-4228

Mailing address

81 E Main St
Xenia, OH 45385-3201
Phone (937) 376-3996

Other identifiers 1

IdentifierTypeStateIssuer
2036899MedicaidOH

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 1972981322. Details of each certification follow.

  • CCN 36G540 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G540

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
TOWARD INDEPENDENCE, INC - PUEBLO
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 3, 1997
Last certification
Feb 19, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
1841 Pueblo Drive
Xenia, OH 45385

National Provider Directory

National Provider Directory
Tax ID family
Toward Independence Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1972981322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 E MAIN ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853201",
            "telephone_number": "937-376-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 PUEBLO DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453854228",
            "telephone_number": "937-376-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWARD INDEPENDENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "SCHLATER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-376-3996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "2910194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036899",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.