MRS. TERESA J CARLSON (NPI# 1457505430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457505430 |
| Entity Type | Individual |
| Full Name | MRS. TERESA J CARLSON |
| Credential | OTR/L |
| Practice Address |
300 Yant St Bolivar OH 44612-9712 |
| Mailing Address |
644 Bobwhite Trl Akron OH 44319-3889 |
| Practice Telephone | 3308749999 |
| Practice Fax Number | 3308749937 |
| Mailing Telephone | 3308749999 |
| Mailing Fax Number | 3308749937 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | OT-02742 | OH | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841595394 | Teresa L Carlson | Social Worker | 425 Lake Hills Ln, Kalispell, MT 59901-7427 | 2011-01-13 |
| 1922125251 | Teresa Kneeland Carlson | Physical Therapist | 575 E Main St, Elma, WA 98541-9551 | 2007-03-23 |
| 1649200262 | Teresa L Carlson | Optometrist | 11960 Lioness Way, 190, Parker, CO 80134-5640 | 2006-07-03 |
| Street Address |
300 YANT ST |
| City | BOLIVAR |
| State | OH |
| Zip Code | 44612-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366455107 | Megco Management Inc. | Skilled Nursing Facility | 300 Yant St, Bolivar, OH 44612-9712 | 2006-08-14 |
| 1295064715 | Megco Management Co. | Clinical Medical Laboratory | 300 Yant St, Bolivar, OH 44612-9712 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221473 | Robert Charles Ritchie | Home Health Aide | 9990 Hess Mill Rd, Apt C, Bolivar, OH 44612 | 2016-08-31 |
| 1679659635 | Bolivar Volunteer Fire Department, Inc. | Ambulance | 456 Water Street, Bolivar, OH 44612 | 2006-10-31 |
| 1639129513 | William Wray Emley Jr. | Chiropractor | 10948 State Route 212 Ne, Suite A, Bolivar, OH 44612 | 2006-05-11 |
| 1417363300 | Sylvia Jade Evans | Nurse's Aide | 801 Kerns Dr Ne, Apt B, Bolivar, OH 44612-8201 | 2014-07-11 |
| 1124484548 | Gabrielle Laux | Speech-Language Pathologist | 8404 French Hill Rd Nw, Bolivar, OH 44612-8413 | 2016-01-14 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1376007849 | Kevin M Spicer | Prosthetist | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1205261617 | Bethany Bair | Counselor | 1182 Bimeler St Ne, Bolivar, OH 44612-8665 | 2013-09-05 |
| 1225432610 | Jessica Heitman | Occupational Therapist | 1129 Fieldstone Cir Ne, Bolivar, OH 44612-8666 | 2014-10-15 |
| 1639128291 | Kelly Anne Farrell | Chiropractor | 387 Edgebrook Rd Ne, Bolivar, OH 44612-8706 | 2006-05-09 |
| Find all providers in zip 44612 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937688 | Acclaim Senior Activities Center | Alzheimer Center (Dementia Center) | 3878 Indian Ripple Rd, Beavercreek, OH 45440-3448 | 2020-09-21 |
| 1679106512 | Brooklyn Pointe, LLC | Alzheimer Center (Dementia Center) | 4800 Idlewood Dr, Brooklyn, OH 44144-3131 | 2020-02-19 |
| 1245715507 | Brentwood Assisted Living LLC | Alzheimer Center (Dementia Center) | 915 W Aurora Rd, Sagamore Hills, OH 44067-1605 | 2018-10-02 |
| 1114324217 | Kemper House Highland Heights Operating Company LLC | Alzheimer Center (Dementia Center) | 407 Golfview Ln, Highland Heights, OH 44143-4414 | 2014-12-04 |
| 1750712956 | Na | Alzheimer Center (Dementia Center) | 7629 Maryland Ave, Cleveland, OH 44105-5927 | 2013-12-12 |
| 1578994778 | Taria White | Alzheimer Center (Dementia Center) | 15400 Maple Park Dr, Apt 22, Maple Heights, OH 44137-4294 | 2013-12-12 |
| 1720317605 | The Fairways | Alzheimer Center (Dementia Center) | 30630 Ridge Rd, Wickliffe, OH 44092-1166 | 2009-12-23 |
| 1952639767 | Wegman Family (canton) LLC Vi | Alzheimer Center (Dementia Center) | 4550 Hills and Dales Rd Nw, Canton, OH 44708-1508 | 2009-12-07 |
| 1831425925 | Summerville At Mentor LLC | Alzheimer Center (Dementia Center) | 5700 Emerald Ct, Mentor, OH 44060-1870 | 2009-10-23 |
| 1780910927 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 141 Chestnut Hill Dr, Ravenna, OH 44266-3916 | 2009-10-22 |
| 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.