Active NPI
Board of Commissioners of Defiance County
Doing business as Defiance County Senior Services
- Private Vehicle
- Defiance, OH
National Provider Identifier
1134412042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- BOARD OF COMMISSIONERS OF DEFIANCE COUNTY
- Doing business as
- Defiance County Senior Services
- Practice address
- 140 E Broadway St
Defiance, OH 43512-1639 - Phone
- (419) 782-3233
- Fax
- (419) 782-7610
- NPI assigned
- May 25, 2011
- Last updated
- Feb 14, 2024
- 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. Nick Wichman
- Title
- Director
- Phone
- (419) 782-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
140 E Broadway St
Defiance, OH 43512-1639
Mailing address
140 E Broadway St
Defiance, OH 43512-1639
Phone (419) 782-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099250 | Medicaid | OH |
Other names 1
- Defiance County Senior Services
National Provider Directory
National Provider Directory- Tax ID family
- Board of Commissioners of Defiance County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Defiance, OH
- NPI 1851849442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1134412042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E BROADWAY ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435121639",
"telephone_number": "419-782-3233",
"fax_number": "419-782-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 E BROADWAY ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435121639",
"telephone_number": "419-782-3233",
"fax_number": "419-782-7610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOARD OF COMMISSIONERS OF DEFIANCE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-25",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "WICHMAN",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-782-3232",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099250",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Defiance County Senior Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.