Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ohio Group Home of Middletown LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1669129219

Ohio Group Home of Middletown LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Middletown, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3100 S Main St
Middletown, OH 45044-7421
Phone: (845) 205-6813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1669129219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Laurderdale — Manager · (845) 205-6813
NPI enumeratedMarch 3, 2022
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address1 Executive Blvd Ste 203, Suffern, NY 10901-4157