OLD ABBE ROAD HOME (NPI# 1699926568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699926568 |
| Entity Type | Organization |
| Organization Name | OLD ABBE ROAD HOME |
| Practice Address |
3942 Old Abbe Road Sheffield Village OH 44054 |
| Mailing Address |
38135 Colorado Ave Avon OH 44011-1028 |
| Practice Telephone | 4409347202 |
| Practice Fax Number | 4409347203 |
| Mailing Telephone | 4409346152 |
| Mailing Fax Number | 4409340430 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MRS. SHIRLEY SHARP (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 4409346152 |
| Is Organization Subpart | Y |
| Parent Organization Name | OUR LADY OF THE WAYSIDE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4710833 | OH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2311699 | 05 |
| Street Address |
3942 OLD ABBE ROAD |
| City | SHEFFIELD VILLAGE |
| State | OH |
| Zip Code | 44054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929925 | Aaron H Simmons | Homemaker | 764 Irving Park Blvd., Sheffield Lake, OH 44054 | 2020-10-14 |
| 1366056210 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 410 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1619581568 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 460 Abbe Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1194339044 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 5230 East Lake Road, Sheffield Lake, OH 44054 | 2020-09-08 |
| 1326652496 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 801 Robinwood, Sheffield Lake, OH 44054 | 2020-09-04 |
| 1770778771 | Aaron Matthew Locke | Chiropractor | 5445 Detroit Rd., Suite 201, Sheffield Village, OH 44054 | 2007-09-12 |
| 1942421482 | Mary Carpenter Boia | Speech-Language Pathologist | 5125 Burrell Drive, Sheffield Village, OH 44054 | 2007-05-01 |
| 1497975668 | Jeanne Louise Thompson | Licensed Practical Nurse | 677 Grantwood Ave, Sheffield Lake, OH 44054 | 2007-04-27 |
| 1982636627 | Brian Lee Bennett | Chiropractor | 5445 Detroit Rd, Suite 201, Sheffield Village, OH 44054 | 2006-07-06 |
| 1649256801 | John Keith Krebs | Orthopaedic Surgery | 5001 Transportation Dr, Sheffield Village, OH 44054 | 2005-12-20 |
| Find all providers in zip 44054 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437300530 | French Creek | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4691 French Creek Rd, Sheffield Village, OH 44054-2715 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053801 | Vip of Ohio, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2446 Audubon Rd, Akron, OH 44320-1010 | 2020-11-03 |
| 1871190280 | Gateways To Better Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 | 2020-10-08 |
| 1235746264 | Cheryl L Nelson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 | 2020-09-24 |
| 1164039244 | Amberdawn E Kenworthy-byers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3746 Hickory Ln, Greenville, OH 45331-3014 | 2020-09-23 |
| 1467067124 | Forever Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 | 2020-09-10 |
| 1174177737 | Alive Now Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 Amsel Ave Ne, Canton, OH 44721-2606 | 2019-07-31 |
| 1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
| 1811447519 | Royal Queens Care Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6625 Retton Rd, Reynoldsburg, OH 43068-2849 | 2016-10-06 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1700238391 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4383 Ammon Rd, Cleveland, OH 44143-2803 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SHEFFIELD VILLAGE |
| Zip Code | 44054 |
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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.