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RICHARD AVENUE
NPI 1912146572
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bellefontaine, OH

Active since February 05, 2009
141 RICHARD AVENUE, BELLEFONTAINE, OH 43311(937) 653-1320(937) 653-1321 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Avenue NPPES

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

RICHARD AVENUE (NPI 1912146572) 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

NPI1912146572
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCHAMPAIGN RESIDENTIAL SERVICES, INC.
Location Address141 RICHARD 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 5, 2009
✔ NPI 1912146572 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.

141 RICHARD AVENUE, Bellefontaine, OH 43311
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Other Names 1

Other NameRichard Avenue

Other Identifiers 2

Medicaid0990745OH
Medicare PIN36G484

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 1912146572. It was assigned to this organization in the NPPES registry on February 5, 2009. The provider is also known as Richard Avenue.

Where is Champaign Residential Services, Inc. located?

Champaign Residential Services, Inc. is located at 141 Richard 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 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.