Active NPI
Licking County Board of MRDD
- Case Management Agency
- Newark, OH
National Provider Identifier
1215795828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LICKING COUNTY BOARD OF MRDD
- Practice address
- 116 N 22ND St
Newark, OH 43055-2755 - Phone
- (740) 644-0344
- NPI assigned
- Mar 8, 2024
- Last updated
- Mar 8, 2024
- Organization subpart
- Yes
- Parent organization
- LICKING COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hannah Goodwin
- Title
- Director of Finance
- Phone
- (740) 644-0344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
116 N 22ND St
Newark, OH 43055-2755
Mailing address
116 N 22ND St
Newark, OH 43055-2755
Phone (740) 644-0344
National Provider Directory
National Provider Directory- Tax ID family
- Licking County Board of
- Part of
- Licking County Board of
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Newark, OH
- NPI 1295860724
-
- Home Health Agency
- Newark, OH
- NPI 1255658381
Locations
116 N 22nd St
Newark, OH 43055
Phone (740) 644-0344
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Licking County Health Department
- Public Health or Welfare Agency
- Newark, OH
- NPI 1891763876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1215795828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N 22ND ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552755",
"telephone_number": "740-644-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N 22ND ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552755",
"telephone_number": "740-644-0344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LICKING COUNTY BOARD OF MRDD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LICKING COUNTY",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "HANNAH",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "740-644-0344"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
- Licking County (Licking County Transit)
- Licking County (Licking County Health Department)
- Licking County Aging Program, Inc.
- Licking County Alcoholism Prevention Program (Lapp)
- Licking County Alcoholism Prevention Program
- Licking County Board of MRDD
- Licking County Community Health Care (The Community Health Clinic)
- Licking County Educational Service Center
- Licking County Health Department
- Licking Memorial Health Professionals
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.