CHAMPAIGN RESIDENTIAL SERVICES, INC. – NPI #1710126370
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CHAMPAIGN RESIDENTIAL SERVICES, INC. is a residential treatment facility located in BELLEFONTAINE, OH. NPPES has assigned the NPI number 1710126370 to CHAMPAIGN RESIDENTIAL SERVICES, INC. on February 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHAMPAIGN RESIDENTIAL SERVICES, INC. is also known by the name SPRING AVENUE. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 CHAMPAIGN RESIDENTIAL SERVICES, INC. below.

NPI Profile for
CHAMPAIGN RESIDENTIAL SERVICES, INC.

NPI Number
1710126370
Enumeration Date

(more than 17 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
CHAMPAIGN RESIDENTIAL SERVICES, INC.
Other Name: SPRING AVENUE
Primary location
329 EAST SPRING AVENUE
BELLEFONTAINE, OH 43311
Phone: (937) 653-1320 Fax: (937) 653-1321
Mailing address
P.O. BOX 29
URBANA, OH 43078-0029
Phone: (937) 653-1320 Fax: (937) 653-1321
Organization Subpart
Yes - CHAMPAIGN RESIDENTIAL SERVICES, INC. is subpart of another organization.
Authorized Official
THAN JOHNSON
CHIEF EXECUTIVE OFFICER
Phone: (937) 653-1320
Updated
Identifiers

Identifiers for CHAMPAIGN RESIDENTIAL SERVICES, INC.

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
MEDICAIDOH0993395
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.