OrganizationActive
Champaign Residential Services, Inc.
NPI 1912146572 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bellefontaine, OH
Provider details
- NPI number
- 1912146572
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Champaign Residential Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Than Johnson, Chief Executive Officer(937) 653-1320
Specialties & taxonomies
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
141 Richard Avenue
Bellefontaine, OH 43311
Phone: (937) 653-1320
Fax: (937) 653-1321
Street-level locationGet directions
Mailing address
P.o. Box 29
Urbana, OH 43078-0029
Other names (DBA / former)
- Other name
- Richard Avenue
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2009-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.