YOUNGSTOWN DEVELOPMENTAL CENTER (NPI# 1073638458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073638458 |
| Entity Type | Organization |
| Organization Name | YOUNGSTOWN DEVELOPMENTAL CENTER |
| Practice Address |
4891 E County Line Rd Mineral Ridge OH 44440-9411 |
| Practice Telephone | 3305442231 |
| Practice Fax Number | 3305443519 |
| Mailing Telephone | 3305442231 |
| Mailing Fax Number | 3305443519 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | MS. CYNTHIA M. RENNER (SUPERINTENDENT) |
| Authorized Official Telephone | 3305442231 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF OHIO DEPT. OF MR/DD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 36G589 | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2396134 | 05 |
| Street Address |
4891 E COUNTY LINE RD |
| City | MINERAL RIDGE |
| State | OH |
| Zip Code | 44440-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748266 | Michelle Adelman | Community Health Worker | 1135 Taylor Lane, Mineral Ridge, OH 44440 | 2016-09-14 |
| 1831570928 | Billie Berardi | Nurse's Aide | 1744 Dumont Drive, Mineral Ridge, OH 44440 | 2015-06-15 |
| 1851510499 | Mary Ann Papas | Registered Nurse | 1076 Reservoir Run Ct, Mineral Ridge, OH 44440 | 2007-04-24 |
| 1871689521 | John J. Zoumis | Optometrist | 504 Cynthia Drive, Campbell, OH 44440 | 2006-10-04 |
| 1972850451 | Berlin Twp | Ambulance | 15801 W. Akron Canfield Road, Berlin Center, OH 44440-0095 | 2012-08-14 |
| 1346367919 | Jacquelyn Ann Lanterman | Social Worker | 1044 Reservoir Run, Mineral Ridge, OH 44440-9016 | 2007-03-26 |
| 1033633425 | Erica Berg | Licensed Practical Nurse | 1042 Salt Springs Rd, Mineral Ridge, OH 44440-9317 | 2017-07-28 |
| 1093917189 | Tamara Lynn Tabor-glancy | Case Manager/Care Coordinator | 1180 Salt Springs Rd, Mineral Ridge, OH 44440-9318 | 2007-06-01 |
| 1942738075 | Joshua Tasma | Specialist/Technologist | 1493 Harding Ave, Mineral Ridge, OH 44440-9347 | 2017-06-02 |
| 1275887077 | Whitney Diehl | Physical Therapy Assistant | 1335 Northfield Dr, Mineral Ridge, OH 44440-9407 | 2012-10-31 |
| Find all providers in zip 44440 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740405133 | Gateways To Better Living, Inc. | Intermediate Care Facility, Mentally Retarded | 30 Liberty St W, Mineral Ridge, OH 44440-9610 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| 1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
| 1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
| 1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MINERAL RIDGE |
| Zip Code | 44440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.