TRIAD RESIDENTIAL SOLUTIONS LLC
NPI 1417051541
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Medina, OH

Q: What is Triad Residential Solutions LLC's NPI number?

The NPI number for Triad Residential Solutions LLC is 1417051541. It was assigned to this organization in the NPPES registry on September 11, 2006.

Q: What is Triad Residential Solutions LLC's specialty?

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

Active since September 11, 2006

4986 GATEWAY DR, MEDINA, OH 44256(330) 723-7980(330) 723-7981 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Triad Residential Solutions Llc NPPES

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

TRIAD RESIDENTIAL SOLUTIONS LLC (NPI 1417051541) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Medina, Ohio and active in the NPI registry since September 2006. The organization lists Todd J Frick, Director, as its authorized official.

NPPES Registry Identity

NPI1417051541

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameTRIAD RESIDENTIAL SOLUTIONS LLC

Location Address4986 GATEWAY DRMedina, OH 44256

Mailing AddressPo Box 352313Toledo, OH 43635-2313 · (419) 536-3497 · Fax (419) 536-3529

Phone(330) 723-7980

Fax(330) 723-7981

Organization SubpartNo

Authorized OfficialTodd J FrickDirector · (419) 536-3497

Enumeration DateSeptember 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417051541 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 · 2293414

Definition

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

4986 GATEWAY DR, Medina, OH 44256

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Other Identifiers 1

Medicaid4800899OH

Other Providers at the Same Location NPPES

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

PERFORMANCE THERAPY GROUP, INC.

Occupational Therapist

4986 GATEWAY DR
MEDINA, OH 44256

Medina County (330) 752-4370

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 Triad Residential Solutions LLC's NPI number?

The NPI number for Triad Residential Solutions LLC is 1417051541. It was assigned to this organization in the NPPES registry on September 11, 2006.

Where is Triad Residential Solutions LLC located?

Triad Residential Solutions LLC is located at 4986 Gateway Dr, Medina, OH 44256. The listed phone number is (330) 723-7980.

What is Triad Residential Solutions LLC'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 Triad Residential Solutions LLC 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 6 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.