HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES (NPI# 1558664771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558664771 |
| Entity Type | Organization |
| Organization Name | HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES |
| Practice Address |
9772 Diagonal Road Mantua OH 44255 |
| Mailing Address |
9772 Diagonal Rd Mantua OH 44255-9128 |
| Practice Telephone | 3302742272 |
| Practice Fax Number | 3307322467 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | GREG SNYDER (CFO) |
| Authorized Official Telephone | 3308406851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
OH | Nursing & Custodial Care Facilities | |
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
RN225848 | OH | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
| 1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
| 1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
| 1417010067 | Hattie Larlham Center for Children With Disablilites | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-18 |
| Street Address |
9772 DIAGONAL ROAD |
| City | MANTUA |
| State | OH |
| Zip Code | 44255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 1952530206 | Hattie Larlham Center for Children With Disablilites | Psychologist | 9772 Diagonal Road, Mantua, OH 44255 | 2009-07-08 |
| 1912179755 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-04-01 |
| 1982876504 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mentally Retarded | 9772 Diagonal Road, Mantua, OH 44255 | 2008-03-25 |
| 1417010067 | Hattie Larlham Center for Children With Disablilites | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616820 | Cleveland Clinic Sports Health Center | Clinic/Center | 4683 Wayne Road, Mantua, OH 44255 | 2013-09-19 |
| 1063565927 | Mantua Pharmacy Inc | Pharmacy | 10870 N. Main St, Mantua, OH 44255 | 2007-01-22 |
| 1780763763 | Advanced Rehabilitation and Health Specialists Inc | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-02 |
| 1023091774 | Emily Claire Voytilla | Optometrist | 10730 Main Street, Mantua, OH 44255 | 2005-11-28 |
| 1073015558 | Jillyan Collica | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44255 | 2018-03-01 |
| 1902011240 | Norman Joseph Sadowski | Pharmacist | 10870 Main Street, Mantua, OH 44255 | 2007-05-11 |
| 1568535862 | Edie Knowlton Benner | Physical Therapist | 4707 Mill Street, Mantua, OH 44255 | 2006-11-16 |
| 1235327461 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2007-10-12 |
| 1265403539 | Christopher J Meyer | Optometrist | 10730 Main St., Mantua, OH 44255-0520 | 2006-01-27 |
| 1770740326 | Joseph R Pawlik | Dentist | 10730 Main St, Mantua, OH 44255-0650 | 2008-05-21 |
| Find all providers in zip 44255 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336681824 | Ormica Labossiere | Skilled Nursing Facility | 10822 Wengate Lane, Cincinnati, OH 45241-2937 | 2016-11-15 |
| 1093167926 | Marie A Taylor | Skilled Nursing Facility | 3988 Brookshire Ct, Columbus, OH 43227-3670 | 2016-07-03 |
| 1215391917 | T&t Home Health Care LLC | Skilled Nursing Facility | 12 W Wenger Rd Ste G, Englewood, OH 45322-2754 | 2016-04-08 |
| 1245600808 | Aloys Asong | Skilled Nursing Facility | 771 Kollines Ct, Blacklick, OH 43004-8424 | 2015-09-25 |
| 1578948543 | Latasha Sarr | Skilled Nursing Facility | 1808 Rankin Ave, Columbus, OH 43219-1124 | 2015-07-20 |
| 1467845347 | Ruth Kinyanjui | Skilled Nursing Facility | 6458 Faircrest Rd, Columbus, OH 43229-2002 | 2015-03-16 |
| 1073917985 | Tami Pernell | Skilled Nursing Facility | 168 E State Route 296, Urbana, OH 43078-9325 | 2014-10-21 |
| 1922408681 | Heather Owda | Skilled Nursing Facility | 7373 Werner Ave, 7373 Werner Avenue, Cincinnati, OH 45231-4267 | 2014-09-01 |
| 1861811937 | Christyna Finklea | Skilled Nursing Facility | 1918 Westmont Ln, Apt #1407, Cincinnati, OH 45205-1153 | 2014-04-15 |
| 1083049308 | Alimata Oldfield | Skilled Nursing Facility | 3039 Wallcrest Blvd, Columbus, OH 43229 | 2013-09-05 |
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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.