| Homes For Kids Of Ohio, Inc. | |
|
165 E Park Ave Niles OH 44446-2352 | |
| (330) 544-8005 | |
| (330) 544-9379 |
| Full Name | Homes For Kids Of Ohio, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 E Park Ave, Niles, Ohio |
| Authorized Official Name and Position | Matt Kresic (CEO) |
| Authorized Official Contact | 3305448005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homes For Kids Of Ohio, Inc. Po Box 683 Niles OH 44446-0683 Ph: (330) 544-8005 | Homes For Kids Of Ohio, Inc. 165 E Park Ave Niles OH 44446-2352 Ph: (330) 544-8005 |
| NPI Number | 1558339762 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Medicare PECOS PAC ID | 9638560089 |
|---|---|
| Medicare Enrollment ID | O20211220002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558339762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 0500 (Ohio) | Primary |
| Provider Name | Sarah Luzik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821510967 PECOS PAC ID: 8820493562 Enrollment ID: I20210818004146 |
| Provider Name | Barbara Snow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245611649 PECOS PAC ID: 7315338647 Enrollment ID: I20211221002859 |
| Provider Name | Kristen M Lepsik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225548084 PECOS PAC ID: 3779974670 Enrollment ID: I20220104001587 |
| Provider Name | Alicia Patel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811324981 PECOS PAC ID: 3870984784 Enrollment ID: I20220104001995 |
| Provider Name | Davina Mcpheron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902293632 PECOS PAC ID: 0648662890 Enrollment ID: I20220119003178 |
| Provider Name | Joyce Ann Agne Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447688247 PECOS PAC ID: 3375937063 Enrollment ID: I20220222002679 |
| Provider Name | Nikunj N Patel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164836623 PECOS PAC ID: 4486081288 Enrollment ID: I20240313003297 |
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