OrganizationActive
Mansfield Group Home, Ltd
NPI 1063409738 · Intellectual Disabilities Intermediate Care Facility · Mansfield, OH
Provider details
- NPI number
- 1063409738
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Robertson, Corp. Office Executive Assistant(419) 526-0124
- License
- 15636 (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
245 W 4th St
Mansfield, OH 44903-1704
Phone: (419) 524-2335
Fax: (419) 522-4391
Street-level locationGet directions
Mailing address
245 W 4th St
Mansfield, OH 44903-1704
Other names (DBA / former)
- Doing business as
- Chenita Group Home
Registry dates
- Enumerated
- 2005-09-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.