CENTRAL OHIO GROUP HOMES, INC. (NPI# 1639172463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639172463 |
| Entity Type | Organization |
| Organization Name | CENTRAL OHIO GROUP HOMES, INC. |
| Other Organization Name | CANTERBURY VILLA |
| Practice Address |
80 Miller St Centerburg OH 43011-9741 |
| Mailing Address |
25000 Country Club Blvd Suite 255 North Olmsted OH 44070-5344 |
| Practice Telephone | 7406256873 |
| Mailing Telephone | 4406140160 |
| Mailing Fax Number | 4406140168 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | BRIAN COLLERAN (PRESIDENT) |
| Authorized Official Telephone | 4406140160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4210642 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2417530 | 05 |
| Other Name | Type Code |
|---|---|
| Canterbury Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416030 | Central Ohio Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5520 County Road 25, Cardington, OH 43315-9346 | 2005-06-08 |
| 1700880770 | Central Ohio Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5970 Marion Mount Gilead Rd, Caledonia, OH 43314-9417 | 2005-06-08 |
| 1053313254 | Central Ohio Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5510 County Road 25, Cardington, OH 43315-9346 | 2005-06-01 |
| 1265434468 | Central Ohio Group Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5944 Marion Mount Gilead Rd, Caledonia, OH 43314-9417 | 2005-06-01 |
| Street Address |
80 MILLER ST |
| City | CENTERBURG |
| State | OH |
| Zip Code | 43011-9741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588069991 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 80 Miller St, Centerburg, OH 43011-7023 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831755438 | Cheyenne Alexis Martin | Registered Nurse | 58 East Cherry Alley, Apt C, Centerburg, OH 43011 | 2019-05-20 |
| 1003332370 | Diana Helen Sakellis-christofi | Speech-Language Pathologist | 212 Fairview Ave, Centerburg, OH 43011 | 2017-08-18 |
| 1710267398 | Erin Nicole-deal Vieira | Dentist | 3927 Columbus Rd, Centerburg, OH 43011 | 2011-08-26 |
| 1235332479 | Catherine Borden | Registered Nurse | 4622 Lock Rd., Centerburg, OH 43011 | 2007-06-06 |
| 1770009292 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 4581 Columbus Rd, Centerburg, OH 43011 | 2017-08-16 |
| 1851574461 | Centerburg Chiropractic Center | Chiropractor | 29 N Clayton Street, Centerburg, OH 43011-0039 | 2007-12-06 |
| 1023168853 | Harry Mcwilliams Jr. | Chiropractor | 29 N. Clayton St., Centerburg, OH 43011-0039 | 2007-01-12 |
| 1730313339 | Linda Sue Moreland | Licensed Practical Nurse | 13 East Main Street Apt B, Centerburg, OH 43011-0626 | 2009-05-11 |
| 1033147731 | Heartland of Centerburg Oh LLC | Skilled Nursing Facility | 212 Fairview Avenue, Centerburg, OH 43011-0720 | 2006-06-29 |
| 1720241516 | Laura A Mazzaferri | Nurse Practitioner | 29 A North Clayton #749, Centerburg, OH 43011-0749 | 2008-07-02 |
| Find all providers in zip 43011 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043341 | Denise Szabados | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 802 Valley Dr, Amherst, OH 44001-2041 | 2020-11-05 |
| 1093316374 | Collene Marie Hill | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 06605 Cr 8, Bryan, OH 43506-4350 | 2020-11-04 |
| 1467052050 | Kathryn Mooers Howitt | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 374 Woodlawn Reserve Rd, Akron, OH 44305-3959 | 2020-11-01 |
| 1679173629 | The Resource Empowerment Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3895 S Main St, Akron, OH 44319-3630 | 2020-10-29 |
| 1104426667 | Highest Expectations LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 W South St, Lebanon, OH 45036-2127 | 2020-10-26 |
| 1982203964 | Family Care Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5012 Saint Aubin Dr, Toledo, OH 43615-5913 | 2020-10-21 |
| 1699374082 | Pamela Wilkes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Washburn Rd, Tallmadge, OH 44278-2612 | 2020-10-18 |
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1558969477 | Caryl Westgerdes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3064 Eagle Cove Dr, Ripley, OH 45167-9683 | 2020-10-13 |
| 1972101210 | Nakia Sullins | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6033 Bear Creek Dr Apt 210, Bedford Heights, OH 44146-2907 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | CENTERBURG |
| Zip Code | 43011 |
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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.