HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES – NPI #1912179755
Intermediate Care Facility, Intellectual Disabilities

An intermediate care facility providing services for individuals with intellectual disabilities.

HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES is a facility located in MANTUA, OH. NPPES has assigned the NPI number 1912179755 to HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES on April 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 315P00000X from the Health Care Provider Taxonomy code set, which is classified as Intermediate Care Facility, Intellectual Disabilities.

The NPI profile was previously updated about 6 years ago on Jan 31, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES below.

NPI Profile for
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES

NPI Number
1912179755
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Primary location
9772 DIAGONAL ROAD
MANTUA, OH 44255
Phone: (330) 274-2272 Fax: (330) 732-2467
Mailing address
9772 DIAGONAL RD
MANTUA, OH 44255-9128
Phone: (330) 274-2272 Fax:
Organization Subpart
No
Authorized Official
GREG SNYDER
CFO
Phone: (330) 840-6851
Updated
Certification Date
Jan 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0729322
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
315P00000X
- Intermediate Care Facility, Intellectual Disabilities (Primary)
OH

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.