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YOUNGSTOWN DEVELOPMENTAL CENTER
NPI 1073638458
Intermediate Care Facility, Intellectual Disabilities in Mineral Ridge, OH

Active since March 21, 2007
4891 E COUNTY LINE RD, MINERAL RIDGE, OH 44440(330) 544-2231(330) 544-3519 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Youngstown Developmental Center NPPES

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

YOUNGSTOWN DEVELOPMENTAL CENTER (NPI 1073638458) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mineral Ridge, Ohio and active in the NPI registry since March 2007. The organization lists Cynthia M. Renner, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1073638458
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameYOUNGSTOWN DEVELOPMENTAL CENTER
Location Address4891 E COUNTY LINE RDMineral Ridge, OH 44440-9411
Mailing Address4891 E County Line RdMineral Ridge, OH 44440-9411 · (330) 544-2231 · Fax (330) 544-3519
Phone(330) 544-2231
Fax(330) 544-3519
Organization SubpartYesParent: State Of Ohio Dept. Of Mr/dd
Authorized OfficialCynthia M. RennerSuperintendent · (330) 544-2231
Enumeration DateMarch 21, 2007
Last NPPES UpdateOctober 30, 2008
✔ NPI 1073638458 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 · 36G589
Definition

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

4891 E COUNTY LINE RD, Mineral Ridge, OH 44440
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Other Identifiers 2

Medicare UPIN9333786OH
Medicaid2396134OH

Other Providers at the Same Location NPPES 20

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

KEIJAWANA ROCKER
Case Manager/Care Coordinator
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (614) 844-3800
JUSTIN MULLEN
Behavior Technician
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (567) 560-1976
SMARI KACHET PAYNE
Case Manager/Care Coordinator
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (800) 409-2729
LESLEY A JULIAN LSW
Social Worker
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (614) 844-3800
LORAINE DENISE MCKINNON
Case Manager/Care Coordinator
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (800) 409-2729
NATASHA DENISE KINARD
Behavior Technician
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (614) 844-3800
MICHAEL BAISS
Case Manager/Care Coordinator
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (330) 596-1042
N'DONESIA WILLIAMS
Case Manager/Care Coordinator
4891 E COUNTY LINE RD
MINERAL RIDGE, OH 44440
Trumbull County (702) 808-4154

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 Youngstown Developmental Center's NPI number?

The NPI number for Youngstown Developmental Center is 1073638458. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Youngstown Developmental Center located?

Youngstown Developmental Center is located at 4891 E County Line Rd, Mineral Ridge, OH 44440. The listed phone number is (330) 544-2231.

What is Youngstown Developmental Center'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 Youngstown Developmental Center was last updated on October 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.