ANNE GRADY COPORATION (NPI# 1952790826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952790826 |
Entity Type | Organization |
Organization Name | ANNE GRADY COPORATION |
Other Organization Name | HILL AVENUE ICF |
Practice Address |
4154 Hill Avenue Toledo OH 43615-2306 |
Mailing Address |
1525 Eber Rd Holland OH 43528-9616 |
Practice Telephone | 4198666500 |
Practice Fax Number | 4198667457 |
Mailing Telephone | 4198666500 |
Mailing Fax Number | 4198667457 |
Enumeration Date | 2015-01-15 |
Last Update Date | 2020-09-10 |
Authorized Official Name | MR. ROGER FORTENER (ASSOC EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4198666500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Hill Avenue ICF | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
Street Address |
4154 HILL AVENUE |
City | TOLEDO |
State | OH |
Zip Code | 43615-2306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
Find all providers in zip 43615 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
1366958282 | Sunshine Inc. Residential and Support Services | Intermediate Care Facility, Mentally Retarded | 1725 Olimphia Rd, Toledo, OH 43615-3413 | 2017-12-15 |
1457867376 | Sunshine Inc. Residential and Support Services | Intermediate Care Facility, Mentally Retarded | 1755 Olimphia Rd, Toledo, OH 43615-3413 | 2017-12-15 |
1598135493 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 7053 Dorr St, Toledo, OH 43615-4105 | 2015-10-05 |
1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
1548415839 | Eileen Community Residence | Intermediate Care Facility, Mentally Retarded | 4816 Dorr St, Toledo, OH 43615 | 2008-12-01 |
1114172905 | Anne Grady Corporation | Intermediate Care Facility, Mentally Retarded | 5923 Everwood Rd, Toledo, OH 43613-1231 | 2008-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020616 | Viaquest Healthcare Central | Intermediate Care Facility, Mentally Retarded | 6873 Dave Dr, Madison, OH 44057-1105 | 2020-10-15 |
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 |
1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 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 |
1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
1144841438 | Wood Lane Residential Services | Intermediate Care Facility, Mentally Retarded | 355 W Main St., Portage, OH 43451-9802 | 2020-04-28 |
1689209009 | 333 Therapeutics Consulting LLC | Intermediate Care Facility, Mentally Retarded | 331 Toby Rd, Eaton, OH 45320-9529 | 2020-03-05 |
1700418258 | Jewish Family Service Association | Intermediate Care Facility, Mentally Retarded | 8132 Cedar Rd, Chesterland, OH 44026-3548 | 2020-02-12 |
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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.