CLEARWATER HOMES INC (NPI# 1962000299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962000299 |
| Entity Type | Organization |
| Organization Name | CLEARWATER HOMES INC |
| Practice Address |
5254 Lake Rd E Geneva OH 44041-9490 |
| Practice Telephone | 4403199364 |
| Mailing Telephone | 4403199364 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | MICHELLE PELLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 4403199364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
5254 LAKE RD E |
| City | GENEVA |
| State | OH |
| Zip Code | 44041-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740404870 | Beach Club Residential Living Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5254 Lake Rd E, Suite #3, Geneva, OH 44041-9490 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564376 | 599 West Main Corporation | Intermediate Care Facility, Mentally Retarded | 609 West Main Street, Geneva, OH 44041 | 2019-02-11 |
| 1275887713 | Equal Opportunity Housing, LLC | Intermediate Care Facility, Mentally Retarded | 1200 Sawyer Drive, Geneva, OH 44041 | 2012-11-06 |
| 1588967491 | Megann Harris | Dietitian, Registered | 870 W. Main St., Geneva, OH 44041 | 2010-12-15 |
| 1801073523 | University Primary Care Practices Inc | Orthopaedic Surgery | 890 W Main St # 202, Geneva, OH 44041 | 2008-01-24 |
| 1336349661 | Daniel Edward Walsh | Psychologist | 5187 Old Lake Rd, Geneva, OH 44041 | 2007-07-24 |
| 1992927206 | Darlas Health Care | Exclusive Provider Organization | 481 Blaine, Geneva, OH 44041 | 2007-05-03 |
| 1699987867 | Driftwood Industries LLC | Day Training, Developmentally Disabled Services | 185 Water St., Geneva, OH 44041 | 2007-05-03 |
| 1487866638 | 599 West Main Corporation | Intermediate Care Facility, Mentally Retarded | 599 West Main St., Geneva, OH 44041 | 2007-05-03 |
| 1902964273 | Maaike Ann Jenkins | Physical Therapist | 96 Broadway Street, Geneva, OH 44041 | 2006-12-05 |
| 1265501019 | Northwest Ambulance District | Ambulance | 1480 South Broadway, Geneva, OH 44041 | 2006-11-07 |
| Find all providers in zip 44041 | ||||
| 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 |
|---|---|---|---|---|
| 1659719318 | Driftwood Inspirations | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4546 N Ridge Rd E, Geneva, OH 44041-9243 | 2013-06-04 |
| 1558556902 | Lochland School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1065 Lochland Rd, Geneva, NY 14456-3244 | 2007-09-10 |
| 1730222027 | Walden Residential Centers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 750 Eastlawn St, Geneva, OH 44041-1715 | 2007-02-15 |
| 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 | ||||
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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.