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NPI 1013168111 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Avon, OH
Provider details
- NPI number
- 1013168111
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Our Lady of the Wayside
- Organization subpart
- Yes
- Authorized official
- Shirley Sharp, Business Administrator(440) 934-6152
- License
- 4710076 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 4710076 (OH)
Residential Treatment Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
38023 Colorado Ave
Avon, OH 44011-1026
Phone: (440) 934-4825
Fax: (440) 934-4799
Approximate (ZIP-level) locationGet directions
Mailing address
38135 Colorado Ave
Avon, OH 44011-1028
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2008-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.