Chenita Group Home

LBN: Mansfield Group Home, Ltd
Chenita Group Home is an health care organization with primary practice located at 245 W 4Th St , Mansfield OH 44903-1704. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Mansfield Group Home, Ltd can be contacted via phone (419) 524-2335, or through Robertson, Tracy R via phone (419) 526-0124.

Contact Information

Primary practice address
245 W 4Th St Mansfield OH 44903-1704
Phone: (419) 524-2335
Fax: (419) 522-4391
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Tracy R
Phone: (419) 526-0124

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 15636 Ohio

Profile Details

NPI number 1063409738
LBN Legal business name Mansfield Group Home, Ltd
DBA Doing business as Chenita Group Home
Authorized official Robertson, Tracy R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063409738 NPPES
Ohio MEDICAID 2076131

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