Organization Active NPI

Geauga County Board of Developmental Disabilities

  • Case Management Agency
  • Chesterland, OH
National Provider Identifier
1194268433
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2567744 Issued in OH
Legal business name
GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Practice address
8200 Cedar Rd
Chesterland, OH 44026-3550
Phone
(440) 729-9406
Fax
(440) 729-0131
NPI assigned
Nov 18, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mr. Donald Lowell Rice II
Title
Superintendent
Phone
(440) 729-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2567744 OH Primary

Addresses

Primary practice location

8200 Cedar Rd
Chesterland, OH 44026-3550

Mailing address

8200 Cedar Rd
Chesterland, OH 44026-3550
Phone (440) 729-9406

Other identifiers 1

IdentifierTypeStateIssuer
2567744MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Geauga County Board of Developmental Disabilities2 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.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1194268433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263550",
            "telephone_number": "440-729-9406",
            "fax_number": "440-729-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CEDAR RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440263550",
            "telephone_number": "440-729-9406",
            "fax_number": "440-729-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUGA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "440-729-9406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "2567744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2567744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.