OrganizationActive
Our Lady of the Wayside
NPI 1306069752 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Avon, OH
Provider details
- NPI number
- 1306069752
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Terry Davis, Ceo(440) 934-6007
- License
- 4700514 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 4700514 (OH)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 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
38135 Colorado Ave
Avon, OH 44011-1028
Phone: (440) 934-6007
Fax: (440) 934-6327
Approximate (ZIP-level) locationGet directions
Mailing address
38135 Colorado Ave
Avon, OH 44011-1028
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2008-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.