MEDICARE: HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053865568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES

Provider Business Mailing Address
First Line	:	9772 DIAGONAL RD
Second Line	:
City	:	MANTUA
State	:	OH
Zip	:	44255-9128
Country	:	US
Telephone Number	:	330-274-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 TEAKWOOD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-9328
Country	:	US
Telephone Number	:	330-274-2272
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	GREGORY SNYDER
Credential	:
Telephone Number	:	330-840-6851

Provider Enumeration Date	:	08/12/2016
Last Update Date	:	11/17/2020

Similar Medicare Providers

1427444132 — JANEEN JACKSON RN
Practice Location Address:

1219 WIMBELDON BLVD
COLUMBUS, OH
43228-9328

Practice Phone: 614-563-2912
Practice Fax:

1730030461 — THRIVE SUPPORT SERVICES
Practice Location Address:

1415 E DUBLIN GRANVILLE RD STE 203
COLUMBUS, OH
43229-3311

Practice Phone: 380-276-6539
Practice Fax: 380-276-6539

1194676718 — GENTRY CITY HOME HEALTHCARE LLC
Practice Location Address:

1415 E DUBLIN GRANVILLE RD STE 214
COLUMBUS, OH
43229-3328

Practice Phone: 614-300-3198
Practice Fax: 614-324-1225

1952252355 — PREMIERX PHARMACY INC.
Practice Location Address:

4633 MORSE CENTRE RD
COLUMBUS, OH
43229-6601

Practice Phone: 614-924-2124
Practice Fax: 614-505-3093

1710744545 — MELISSA L ADAMS CDCA
Practice Location Address:

1050 KINGSMILL PKWY
COLUMBUS, OH
43229-1143

Practice Phone: 614-907-5434
Practice Fax:

1629920590 — ARCH HEALTH & REHAB CENTER, LLC
Practice Location Address:

5700 KARL RD
COLUMBUS, OH
43229-3602

Practice Phone: 614-846-5420
Practice Fax:

Directions to “HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.