OAK RIDGE TREATMENT CENTER ACQ CORP (NPI# 1184687030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184687030 |
| Entity Type | Organization |
| Organization Name | OAK RIDGE TREATMENT CENTER ACQ CORP |
| Other Organization Name | OAK RIDGE |
| Practice Address |
115 Private Road 977 County Road 44 North Pedro OH 45659 |
| Mailing Address |
Po Box 26456 Indianapolis IN 46226-0456 |
| Practice Telephone | 7405341386 |
| Practice Fax Number | 7405341497 |
| Mailing Telephone | 3175246360 |
| Mailing Fax Number | 3175444355 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRIS JAGODITZ (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3175246360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 052002 | OH | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 052003 | OH | Residential Treatment Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 052004 | OH | Residential Treatment Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 052001 | OH | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Oak Ridge | Other Name - Individual/Organization |
| Street Address |
115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH |
| City | PEDRO |
| State | OH |
| Zip Code | 45659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756097 | Matthew Salyers | Case Manager/Care Coordinator | 115 County Road 977, Pedro, OH 45659 | 2018-10-15 |
| 1023557923 | Michelle Taylor | Counselor | 115private Rd, Pedro, OH 45659 | 2017-02-13 |
| 1710426630 | Lisa Thompson | Case Manager/Care Coordinator | 115 Private Drive 977, Pedro, OH 45659 | 2017-02-13 |
| 1760925531 | Tracy Tufts | Case Manager/Care Coordinator | 115 Priv Rd 977, Pedro, OH 45659 | 2016-11-29 |
| 1376786699 | Rhonda Gail Pierce | Home Health Aide | 5153 County Road 16, Pedro, OH 45659 | 2009-04-16 |
| 1194993964 | T. Steven Cantley | Social Worker | 115 Private Rd. 977, Pedro, OH 45659 | 2008-02-14 |
| 1831301068 | Tammy Sue Bostic | Home Health Aide | 6975 County Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1124240395 | Angela Jo April Brown Gipson | Home Health Aide | 6975 Country Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1033230289 | Ena Inc. | Community/Behavioral Health | 115 Private Dr. 997, Pedro, OH 45659 | 2007-04-03 |
| 1679698898 | Mary Ann Howard | Home Health Aide | 8628 County Road 4, Pedro, OH 45659 | 2007-03-20 |
| Find all providers in zip 45659 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1912311937 | Katina Nichols | Residential Treatment Facility, Emotionally Disturbed Children | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2014-06-18 |
| 1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
| 1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
| 1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
| 1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
| 1245262799 | Lutheran Homes Society, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2006-07-07 |
| 1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1528035631 | Positive Education Program | Residential Treatment Facility, Emotionally Disturbed Children | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
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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.