Provider Demographics
NPI:1366041816
Name:REIGN RESIDENTIAL AND DAY SERVICES
Entity Type:Organization
Organization Name:REIGN RESIDENTIAL AND DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-441-0030
Mailing Address - Street 1:1058 CLARK ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7950
Mailing Address - Country:US
Mailing Address - Phone:419-441-0300
Mailing Address - Fax:
Practice Address - Street 1:1058 CLARK ST STE D
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-7950
Practice Address - Country:US
Practice Address - Phone:419-441-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No347C00000XTransportation ServicesPrivate Vehicle
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0373634Medicaid
OH4810208OtherOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES