OUR LADY OF THE WAYSIDE
NPI 1306069752
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avon, OH

Active since April 11, 2007
38135 COLORADO AVE, AVON, OH 44011(440) 934-6007(440) 934-6327 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Lady Of The Wayside NPPES

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

OUR LADY OF THE WAYSIDE (NPI 1306069752) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Avon, Ohio and active in the NPI registry since April 2007. The organization lists Terry Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306069752
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameOUR LADY OF THE WAYSIDE
Location Address38135 COLORADO AVEAvon, OH 44011-1028
Mailing Address38135 Colorado AveAvon, OH 44011-1028 · (440) 934-6007 · Fax (440) 934-6327
Fax(440) 934-6327
Organization SubpartNo
Authorized OfficialTerry DavisCeo · (440) 934-6007
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 29, 2008
NPI 1306069752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in OH · 4700514
Definition
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.
38135 COLORADO AVE, Avon, OH 44011

Other Identifiers 1

Other4700514OH · Our Lady Of The Wayside

Other Providers at the Same Location NPPES 2

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
38135 COLORADO AVE
AVON, OH 44011
Non-emergency Medical Transport (VAN)
38135 COLORADO AVE
AVON, OH 44011

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 Our Lady Of The Wayside's NPI number?

The NPI number for Our Lady Of The Wayside is 1306069752. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Our Lady Of The Wayside located?

Our Lady Of The Wayside is located at 38135 Colorado Ave, Avon, OH 44011. The listed phone number is (440) 934-6007.

What is Our Lady Of The Wayside's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Wayside was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.