CHENITA GROUP HOME
NPI 1063409738
Intermediate Care Facility, Intellectual Disabilities in Mansfield, OH

Active since September 28, 2005
245 W 4TH ST, MANSFIELD, OH 44903(419) 524-2335(419) 522-4391 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chenita Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHENITA GROUP HOME (NPI 1063409738) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mansfield, Ohio and active in the NPI registry since September 2005. The organization lists Tracy R Robertson, Corp. Office Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1063409738
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMANSFIELD GROUP HOME, LTD
Location Address245 W 4TH STMansfield, OH 44903-1704
Mailing Address245 W 4th StMansfield, OH 44903-1704 · (419) 524-2335 · Fax (419) 522-4391
Fax(419) 522-4391
Organization SubpartNo
Authorized OfficialTracy R RobertsonCorp. Office Executive Assistant · (419) 526-0124
Enumeration DateSeptember 28, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1063409738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in OH · 15636
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
245 W 4TH ST, Mansfield, OH 44903

Other Names 1

Doing Business AsChenita Group Home

Other Identifiers 1

Medicaid2076131OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
245 W 4TH ST
MANSFIELD, OH 44903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansfield Group Home, Ltd's NPI number?

The NPI number for Mansfield Group Home, Ltd is 1063409738. It was assigned to this organization in the NPPES registry on September 28, 2005. The provider is doing business as Chenita Group Home.

Where is Mansfield Group Home, Ltd located?

Mansfield Group Home, Ltd is located at 245 W 4th St, Mansfield, OH 44903. The listed phone number is (419) 524-2335.

What is Mansfield Group Home, Ltd's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Mansfield Group Home, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.