OrganizationActive
Champaign Residential Services Inc
NPI 1871964650 · Intellectual Disabilities Intermediate Care Facility · Tiffin, OH
Provider details
- NPI number
- 1871964650
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Delong, President(937) 653-1320
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
12 Orchard Park
Tiffin, OH 44883
Phone: (937) 653-1320
Fax: (937) 653-1321
Street-level locationGet directions
Mailing address
1150 Scioto St
Urbana, OH 43078-2289
Other names (DBA / former)
- Doing business as
- Crsi
Registry dates
- Enumerated
- 2015-10-19
- Last updated
- 2015-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.