WESTSIDE SUPPORT SERVICES LLC


Address: 639 Brumfield Rd, Lancaster, OH 43130-2801
Phone: 7406890963

WESTSIDE SUPPORT SERVICES LLC (NPI# 1710100979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710100979
Entity Type Organization
Organization Name WESTSIDE SUPPORT SERVICES LLC
Practice Address 639 Brumfield Rd
Lancaster
OH 43130-2801
Practice Telephone 7406890963
Practice Fax Number 7406890971
Mailing Telephone 7406890963
Mailing Fax Number 7406890971
Enumeration Date 2007-04-10
Last Update Date 2020-08-22
Authorized Official Name KIMBERLY J CONRAD (OWNER OPERATOR)
Authorized Official Telephone 7406890963
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services 251C00000X OH Agencies

Other Provider Identifier

State Issuer Identifier Type Code
OH 231007893201 05
OH 413004901001 05
OH 053024742801 05
OH 105281184999 05
OH 103426545299 05
OH 107324031799 05
OH 106605966699 05
OH 231011069301 05

Office Location

Street Address 639 BRUMFIELD RD
City LANCASTER
State OH
Zip Code 43130-2801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477174027 Omnis Medical Group Family Medicine 401 North Ewing Street, Lancaster, OH 43130 2020-05-05
1609408293 Matthew Scott Schaitel Massage Therapist 323 South Broad Street, Lancaster, OH 43130 2020-02-11
1881226058 Hollie Michelle Aneshansley Massage Therapist 323 South Broad St, Lancaster, OH 43130 2020-02-06
1184180127 Natural Remedies Massage Clinic/Center 323 S. Broad St., Lancaster, OH 43130 2019-02-14
1861958126 Jaclyn R Lamphier Massage Therapist 323 S. Broad St, Lancaster, OH 43130 2019-02-12
1457849549 Regina A Rienschield Counselor Fairfield County Counseling Center, 117 W Main St, Suite 107, Lancaster, OH 43130 2018-04-25
1255830212 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1431 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-06
1275032328 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1410 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-05
1295241966 Mark Jason Kraft Hearing Instrument Specialist 618 East Main St., Lancaster, OH 43130 2017-12-18
1447611520 Cindy Reef Counselor 624 E. Main Street, Lancaster, OH 43130 2016-03-16
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690692 Treasured Hearts Life Skills Activity Center Day Training, Developmentally Disabled Services 914 N Dallas Ave, Lancaster, TX 75146-1616 2019-10-09
1235278318 Fairfield Co. Board of Mrdd Day Training, Developmentally Disabled Services 795 College Ave, Lancaster, OH 43130-1082 2007-02-06
1407257165 Applied Behavioral Learning Group, Inc. Day Training, Developmentally Disabled Services 963 W Avenue J, Lancaster, CA 93534-3428 2014-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356942114 From The Heart Home Healthcare Agency Day Training, Developmentally Disabled Services 69 Bird St, Gahanna, OH 43230-6706 2020-11-06
1578164356 Darlene Mulpas Day Training, Developmentally Disabled Services 6224 Hall Rd, Centerburg, OH 43011-9732 2020-11-06
1558962332 Rosemary Seymour Day Training, Developmentally Disabled Services 115 Somerset Rd, Delaware, OH 43015-2840 2020-11-06
1215538467 Starlight Enterprises, Inc. Day Training, Developmentally Disabled Services 400 East High Ave, New Philadelphia, OH 44663 2020-11-04
1336740968 Faithful Homes LLC Day Training, Developmentally Disabled Services 127 Wandle Ave, Bedford, OH 44146-2655 2020-11-02
1568062529 Premier Approach, LLC Day Training, Developmentally Disabled Services 2056 Wales Rd Ne, Massillon, OH 44646-4112 2020-10-29
1578163531 Statewide Transportation Services, LLC Day Training, Developmentally Disabled Services 969 Virginia Ave, Ashland, OH 44805-1949 2020-10-29
1205436250 Growing Wings Adult Services LLC Day Training, Developmentally Disabled Services 107 5th St Se Ste 8, Barberton, OH 44203-4269 2020-10-29
1992305908 Tonya L Love Day Training, Developmentally Disabled Services 706 Dorchester Rd, Akron, OH 44320-1941 2020-10-28
1104425750 Sunshine Health Agency LLC Day Training, Developmentally Disabled Services 7885 Oak Orchard Ave, Blacklick, OH 43004-5038 2020-10-23
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Competitor

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City LANCASTER
Zip Code 43130

Improve Information

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Dataset Information

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.

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