WESTERN RESERVE CARE SYSTEM (NPI# 1124115878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124115878 |
| Entity Type | Organization |
| Organization Name | WESTERN RESERVE CARE SYSTEM |
| Other Organization Name | TOD CHILDREN'S HOSPITAL |
| Practice Address |
500 Gypsy Ln Youngstown OH 44504-1315 |
| Practice Telephone | 3308843898 |
| Practice Fax Number | 3308845672 |
| Mailing Telephone | 3308843898 |
| Mailing Fax Number | 3308845672 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROXIA B. BOYKIN (EXECUTIVE VICE PRESIDENT AND COO) |
| Authorized Official Telephone | 3308845879 |
| Authorized Official Credential | MPA, RN, CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 273R00000X | Psychiatric Unit | Hospital Units | ||
| X | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0560343 | 05 |
| Other Name | Type Code |
|---|---|
| Tod Children's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487787727 | Western Reserve Care System | General Acute Care Hospital | 3622 Belmont Ave, Suite 21, Youngstown, OH 44505-1450 | 2007-03-14 |
| 1669569315 | Western Reserve Care System | Psychiatric Unit | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-10-06 |
| 1275578056 | Western Reserve Care System | General Acute Care Hospital | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-06-17 |
| Street Address |
500 GYPSY LN |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1245899772 | Eric Laurence Trevizo | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-06-09 |
| 1891258968 | Shyam Krishna Poudel | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-07 |
| 1518429711 | Allen Tsai | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-05 |
| 1174084420 | Poonam Nayyer Choudhry | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1093276552 | Brittany Raisa Cools-lartigue | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-27 |
| 1104386176 | Noha Nabil Nasif Soror | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-25 |
| 1871053223 | Jakob Anthony Weaver | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-21 |
| 1245790807 | Emma Sayre | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-20 |
| 1639638596 | Erik Sven Coopes | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310208 | Steward Northside Medical Center, Inc. | Psychiatric Unit | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2017-04-12 |
| 1992100127 | Mercy Health Youngstown, LLC | Psychiatric Unit | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2014-10-30 |
| 1871809848 | Youngstown Ohio Hospital Company LLC | Psychiatric Unit | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2010-08-27 |
| 1669569315 | Western Reserve Care System | Psychiatric Unit | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-10-06 |
| 1548296106 | Mercy Health Youngstown, LLC | Psychiatric Unit | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
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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.