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CRSI
NPI 1164894150
Intermediate Care Facility, Intellectual Disabilities in Mount Vernon, OH

Active since October 29, 2015CLIA 36D2106049 · Waiver
710 S MAIN ST, MOUNT VERNON, OH 43050(937) 653-1320(937) 653-1321 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crsi NPPES

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

CRSI (NPI 1164894150) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mount Vernon, Ohio and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Scott A Delong, President, as its authorized official.

NPPES Registry Identity

NPI1164894150
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCHAMPAIGN RESIDENTIAL SERVICES, INC.
Location Address710 S MAIN STMount Vernon, OH 43050-9260
Mailing Address1150 Scioto St, Po Box 29Urbana, OH 43078-2289 · (937) 653-1320 · Fax (937) 653-1321
Phone(937) 653-1320
Fax(937) 653-1321
Organization SubpartNo
Authorized OfficialScott A DelongPresident · (937) 653-1320
Enumeration DateOctober 29, 2015
✔ NPI 1164894150 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
710 S MAIN ST, Mount Vernon, OH 43050
Open in Google Maps ↗

Other Names 1

Doing Business AsCrsi

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2106049

Crsi · Urbana, OH
Active · expires Jul 21, 2027
CLIA Number36D2106049
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorRachel A. Yoder
Laboratory Phone(937) 653-1320
Laboratory LocationCrsi1150 Scioto Street, Suite 100, Urbana, OH 43078
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CONCEPTS IN COMMUNITY LIVING, INC.
Residential Treatment Facility, Physical Disabilities
710 S MAIN ST
MOUNT VERNON, OH 43050
Knox County (740) 393-0055

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 Champaign Residential Services, Inc.'s NPI number?

The NPI number for Champaign Residential Services, Inc. is 1164894150. It was assigned to this organization in the NPPES registry on October 29, 2015. The provider is doing business as Crsi.

Where is Champaign Residential Services, Inc. located?

Champaign Residential Services, Inc. is located at 710 S Main St, Mount Vernon, OH 43050. The listed phone number is (937) 653-1320.

What is Champaign Residential Services, Inc.'s specialty?

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

Does Champaign Residential Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2106049) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Champaign Residential Services, Inc. was last updated on October 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.