Active NPI
Fayette County Board of MRDD
- Developmentally Disabled Services Day Training Agency
- Washington Court House, OH
National Provider Identifier
1013131614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- FAYETTE COUNTY BOARD OF MRDD
- Practice address
- 1330 Robinson Rd SE
Washington Court House, OH 43160-9201 - Phone
- (740) 335-7453
- Fax
- (740) 335-2185
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Hilgeman
- Title
- Superintendent
- Phone
- (740) 335-7453
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1330 Robinson Rd SE
Washington Court House, OH 43160-9201
Mailing address
1330 Robinson Rd SE
Washington Court House, OH 43160-9201
Phone (740) 335-7453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2400011 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Fayette County
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health & General Preventive Medicine Physician
- Washington CH, OH
- NPI 1477602811
-
- Home Health Agency
- Washington Court House, OH
- NPI 1972697621
Locations
1330 Robinson Rd SE
Washington Court House, OH 43160
Phone (740) 313-7171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1013131614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 ROBINSON RD SE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431609201",
"telephone_number": "740-335-7453",
"fax_number": "740-335-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ROBINSON RD SE",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431609201",
"telephone_number": "740-335-7453",
"fax_number": "740-335-2185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTE COUNTY BOARD OF MRDD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HILGEMAN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "740-335-7453",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2400011",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.