NPIMap

Organization Active NPI

Anne Grady Day Program

  • Developmentally Disabled Services Day Training Agency
  • Holland, OH
National Provider Identifier
1245305002
Registry record updated Apr 15, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ANNE GRADY DAY PROGRAM
Practice address
1645 Trade Rd
Holland, OH 43528-8204
Phone
(419) 866-6500
Fax
(419) 866-7457
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Steven King
Title
Executive Director
Phone
(419) 866-6500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

1645 Trade Rd
Holland, OH 43528-8204

Mailing address

1525 Eber Rd
Holland, OH 43528-9616
Phone (419) 866-6500

Other identifiers 4

IdentifierTypeStateIssuer
2696168MedicaidOH
2770130MedicaidOH
367657OtherOHMEDICARE
4802897MedicaidOH

National Provider Directory

National Provider Directory

Locations

1645 Trade Rd
Holland, OH 43528
Phone (419) 866-6500

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1245305002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 EBER RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289616",
            "telephone_number": "419-866-6500",
            "fax_number": "419-866-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 TRADE RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288204",
            "telephone_number": "419-866-6500",
            "fax_number": "419-866-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE GRADY DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-866-6500"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2696168",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2770130",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "367657",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4802897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.