Evelyn

LBN: Richland County
Evelyn is an health care organization with primary practice located at 592 Evelyn Ave , Mansfield OH 44907. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Richland County can be contacted via phone (419) 522-0611, or through Prather, Elizabeth G via phone (419) 774-4200.

Contact Information

Primary practice address
592 Evelyn Ave Mansfield OH 44907
Phone: (419) 522-0611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prather, Elizabeth G
Phone: (419) 774-4200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 7010406 Ohio

Profile Details

NPI number 1891932398
LBN Legal business name Richland County
DBA Doing business as Evelyn
Authorized official Prather, Elizabeth G
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2009
Last updated Jan 21st, 2009 - about 16 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 1891932398 NPPES
Ohio MEDICAID 2902630
Ohio Other 7010406

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