Dothan Houston County Mr Board Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DOTHAN HOUSTON COUNTY MR BOARD INC.

Doing business as

Vaughn Blumberg Services

Practice address

2715 Flynn Rd
Dothan, AL 36303-1162

Phone

(334) 793-3102

Fax

(334) 793-7740

NPI assigned

Apr 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Billy McCarthy

Title

Director of Finance

Phone

(334) 793-3102

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vaughn Blumberg Services Doing business as

Tax ID family

Dothan Houston County Mental Retardation Board Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dothan Houston County Mental Retardation Board, Inc.

  dba Vaughn Blumberg Services

  • Case Management Agency
  • Dothan, AL
  • NPI 1922170109
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Peterman

  • Speech-Language Pathologist
  • Dothan, AL
  • NPI 1770014540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1063701571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8646",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040646",
            "telephone_number": "334-793-3102",
            "fax_number": "334-793-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 FLYNN RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031162",
            "telephone_number": "334-793-3102",
            "fax_number": "334-793-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN HOUSTON COUNTY MR BOARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "334-793-3102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529918480",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaughn Blumberg Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dothan Endodontic Associates, P.C.
• Dothan Hearing Aid Center, Inc.
• Dothan Hematology & Oncology PC
• Dothan Hematology & Oncology PC
• Dothan Houston County Mental Retardation Board, Inc. (Vaughn Blumberg Services)
• Dothan Hypertension Nephrology Associates
• Dothan Internal Medicine
• Dothan Internal Medicine, LLC
• Dothan Massage School
• Dothan Medical Associates, P.C.

• Developmentally Disabled Services Day Training Agency in Dothan, AL
• Providers in Dothan, AL by specialty
• Developmentally Disabled Services Day Training Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.