HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
NPI 1982876504
Intermediate Care Facility, Intellectual Disabilities in Mantua, OH

NPI Status: Active since March 25, 2008

Contact Information

9772 DIAGONAL ROAD
MANTUA, OH
ZIP 44255
Phone: (330) 274-2272
Fax: (330) 732-2467

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 36D0685568
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 06-22-2027

About HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES

This page provides the complete NPI Profile along with additional information for Hattie Larlham Center For Children With Disablilites, 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 1982876504 assigned on March 2008. The practitioner's primary taxonomy code is 315P00000X with license number 0269874 (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 Mr. Greg Snyder (Cfo)

NPI
1982876504
Provider Name
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Entity Type
Organization
Location Address
9772 DIAGONAL ROAD MANTUA, OH 44255
Location Phone
(330) 274-2272
Location Fax
(330) 732-2467
Mailing Address
9772 DIAGONAL RD MANTUA, OH 44255
Mailing Phone
(330) 274-2272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2008
Last Update Date
01-31-2020
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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.
0269874
License State
OH
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

(OH)

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

MR. GREG 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
0269874MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0685568
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
June 23, 2025
Certificate Expiration Date
June 22, 2027
Laboratory Director
REBECCA L. MARTELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hattie Larlham Center For Children With Disablilites to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982876504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621671250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 6 + 7 + 1 + 2 + 5 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1982876504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417010067HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Organization
Home Health9772 DIAGONAL ROAD
MANTUA, OH 44255
(330) 274-2272
1912179755HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Organization
Intermediate Care Facility, Intellectual Disabilities9772 DIAGONAL ROAD
MANTUA, OH 44255
(330) 274-2272
1952530206HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Organization
Pediatrics (Developmental - Behavioral Pediatrics)9772 DIAGONAL ROAD
MANTUA, OH 44255
(330) 274-2272
1558664771HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Organization
Skilled Nursing Facility (Nursing Care, Pediatric)9772 DIAGONAL ROAD
MANTUA, OH 44255
(330) 274-2272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982876504, enumerated in the NPI registry as an "organization" on March 25, 2008

The provider is located at 9772 Diagonal Road Mantua, Oh 44255 and the phone number is (330) 274-2272

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 36D0685568 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 25, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.