FAMILY CARE SUPPORTIVE LIVING LLC


Address: 5012 Saint Aubin Dr, Toledo, OH 43615-5913
Phone: 5676866057

FAMILY CARE SUPPORTIVE LIVING LLC (NPI# 1982203964) 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) 1982203964
Entity Type Organization
Organization Name FAMILY CARE SUPPORTIVE LIVING LLC
Practice Address 5012 Saint Aubin Dr
Toledo
OH 43615-5913
Practice Telephone 5676866057
Mailing Telephone 5676866057
Enumeration Date 2020-10-21
Last Update Date 2020-10-21
Authorized Official Name LATESHA R WILSON (CEO)
Authorized Official Telephone 4199736124
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 5012 SAINT AUBIN DR
City TOLEDO
State OH
Zip Code 43615-5913

Providers in the same zip code

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 Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477069540 Solid Footing, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1946 N 13th St Ste 210, Toledo, OH 43604-7258 2017-12-27
1861891822 May Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2915 C St, Toledo, OH 43608-2129 2014-08-15
1063847093 D&v Healthcorp Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4851 W Bancroft St, Toledo, OH 43615-3967 2013-09-10
1740629757 Rainbow Homes Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1946 N 13th St Ste 122, Toledo, OH 43604-7257 2013-06-24
1891948634 The Epilepsy Center of Northwest Ohio Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4656 Glendale Ave, Toledo, OH 43614-1965 2008-10-24
1265684427 The Epilepsy Center of Northwest Ohio Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2050 Parkside Blvd, Toledo, OH 43607-1554 2008-10-21

Providers in the same taxonomy and state

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
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
1992302384 Independent Community Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 675 Deis Dr # 201, Fairfield, OH 45014-8136 2020-10-08
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Competitor

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City TOLEDO
Zip Code 43615

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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