HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
NPI 1649649799
Intermediate Care Facility, Intellectual Disabilities in Mantua, OH

Active since September 18, 2015
9772 DIAGONAL RD, MANTUA, OH 44255(330) 840-6851 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2020, Sep 24, 2019 (2 updates tracked since 2019).

  • Organization
  • Intermediate Care Facility, Intellectual...

About HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES

This page provides the complete NPI Profile along with additional information for Hattie Larlham Center For Children With Disabilities, a provider established in Mantua, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1649649799 assigned on September 2015. The practitioner's primary taxonomy code is 315P00000X with license number 0244828 (OH). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Gregory Snyder (Cfo)

NPI
1649649799 Verify this NPI
Provider Name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
Entity Type
Organization
Location Address
9772 DIAGONAL RD MANTUA, OH 44255
Location Phone
(330) 840-6851
Mailing Address
9772 DIAGONAL RD MANTUA, OH 44255
Mailing Phone
(330) 840-6851
Mailing Fax
(330) 732-2467
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2015
Last Update Date
07-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0244828
License State
OH
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY SNYDER

Authorized Official Title
CFO
Authorized Official Phone
(330) 840-6851

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0244828MEDICAID (05)OH 

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Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Physical Therapist (Pediatrics)
9772 DIAGONAL RD
MANTUA, OH 44255
Physical Therapy Assistant
9772 DIAGONAL RD
MANTUA, OH 44255
Physical Therapy Assistant
9772 DIAGONAL RD
MANTUA, OH 44255
Nurse Practitioner (Family)
9772 DIAGONAL RD
MANTUA, OH 44255
Pediatrics
9772 DIAGONAL RD
MANTUA, OH 44255
Occupational Therapist (Pediatrics)
9772 DIAGONAL RD
MANTUA, OH 44255
Occupational Therapy Assistant
9772 DIAGONAL RD
MANTUA, OH 44255
Speech-Language Pathologist
9772 DIAGONAL RD
MANTUA, OH 44255
Physical Therapy Assistant
9772 DIAGONAL RD
MANTUA, OH 44255
Physical Therapy Assistant
9772 DIAGONAL RD
MANTUA, OH 44255
Speech-Language Pathologist
9772 DIAGONAL RD
MANTUA, OH 44255
Massage Therapist
9772 DIAGONAL RD, OUTREACH ACADEMY
MANTUA, OH 44255
Intermediate Care Facility, Mental Illness
9772 DIAGONAL RD
MANTUA, OH 44255
Pediatrics (Medical Toxicology)
9772 DIAGONAL RD
MANTUA, OH 44255
Pediatrics
9772 DIAGONAL RD
MANTUA, OH 44255
Nurse Practitioner (Pediatrics)
9772 DIAGONAL RD
MANTUA, OH 44255
Speech-Language Pathologist
9772 DIAGONAL RD
MANTUA, OH 44255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649649799, enumerated as an "organization" on September 18, 2015.

The provider is located at 9772 DIAGONAL RD MANTUA, OH 44255 and the phone number is (330) 840-6851.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.