OrganizationActive
St. John'S Villa
NPI 1174691927 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Carrollton, OH
Provider details
- NPI number
- 1174691927
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Lyon, President(330) 627-9789
- License
- 1010128 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1010128 (OH)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
701 Crest St Nw
Carrollton, OH 44615-8425
Phone: (330) 627-9789
Fax: (330) 627-4826
Street-level locationGet directions
Mailing address
701 Crest St Nw
Carrollton, OH 44615-8425
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.