MATTHEW J TEKAUCIC
NPI 1356945893
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wadsworth, OH

Q: What is Matthew Tekaucic's NPI number?

The NPI number for Matthew Tekaucic is 1356945893. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Q: What is Matthew Tekaucic's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Tekaucic was last updated on November 25, 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.

Active since November 25, 2020

286 BAIRD AVE, WADSWORTH, OH 44281(330) 441-2311 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Matthew J Tekaucic NPPES

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

MATTHEW J TEKAUCIC (NPI 1356945893) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Wadsworth, Ohio, licensed in Ohio (5213901) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1356945893

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameMATTHEW J TEKAUCIC

Location Address286 BAIRD AVEWadsworth, OH 44281-2220

Mailing Address559 Crestwood AveWadsworth, OH 44281-1928 · (330) 441-2311

Phone(330) 441-2311

Sole ProprietorYes

Enumeration DateNovember 25, 2020

NPPES CertifiedNovember 25, 2020

✔ NPI 1356945893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in OH · 5213901

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

286 BAIRD AVE, Wadsworth, OH 44281

Open in Google Maps ↗

Other Identifiers 1

Medicaid5213901OH

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 Matthew Tekaucic's NPI number?

The NPI number for Matthew Tekaucic is 1356945893. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Where is Matthew Tekaucic located?

Matthew Tekaucic practices at 286 Baird Ave, Wadsworth, OH 44281. The listed phone number is (330) 441-2311.

What is Matthew Tekaucic's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Matthew Tekaucic was last updated on November 25, 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.