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SANDUSKY AVENUE
NPI 1841438538
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bellefontaine, OH

Active since February 03, 2009
629 WEST SANDUSKY AVENUE, BELLEFONTAINE, OH 43311(937) 653-1320(937) 653-1321 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandusky Avenue NPPES

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

SANDUSKY AVENUE (NPI 1841438538) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bellefontaine, Ohio and active in the NPI registry since February 2009. The organization lists Than Johnson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1841438538
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCHAMPAIGN RESIDENTIAL SERVICES, INC.
Location Address629 WEST SANDUSKY AVENUEBellefontaine, OH 43311
Mailing AddressP.o. Box 29Urbana, OH 43078-0029 · (937) 653-1320 · Fax (937) 653-1321
Phone(937) 653-1320
Fax(937) 653-1321
Organization SubpartYes
Authorized OfficialThan JohnsonChief Executive Officer · (937) 653-1320
Enumeration DateFebruary 3, 2009
✔ NPI 1841438538 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
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.
629 WEST SANDUSKY AVENUE, Bellefontaine, OH 43311
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Other Names 1

Other NameSandusky Avenue

Other Identifiers 2

Medicare PIN0990754OH
Medicare PIN36G483

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 1841438538. It was assigned to this organization in the NPPES registry on February 3, 2009. The provider is also known as Sandusky Avenue.

Where is Champaign Residential Services, Inc. located?

Champaign Residential Services, Inc. is located at 629 West Sandusky Avenue, Bellefontaine, OH 43311. The listed phone number is (937) 653-1320.

What is Champaign Residential Services, Inc.'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 Champaign Residential Services, Inc. was last updated on February 3, 2009. 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.