NPIMap

Organization Active NPI

Hattie Larlham Center for Children With Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Reynoldsburg, OH
National Provider Identifier
1992258776
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Practice address
1769 Graham Rd
Reynoldsburg, OH 43068-3104
Phone
(330) 274-2272
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Gregory Snyder
Title
Cfo
Phone
(330) 840-6851

Specialties & licenses 1

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

Addresses

Primary practice location

1769 Graham Rd
Reynoldsburg, OH 43068-3104

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2522229MedicaidOH

Other names 1

  • ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Association for the Developmentally Disabled7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

7996 Darrow Rd
Ste 10
Twinsburg, OH 44087

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1992258776",
    "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": "1769 GRAHAM RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683104",
            "telephone_number": "330-274-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "GREGORY",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522229",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.