NPIMap

Organization Active NPI

Wood County Board of Mr/DD

  • Nursing Care Agency
  • Portage, OH
National Provider Identifier
1295980324
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
WOOD COUNTY BOARD OF MR/DD
Practice address
351 W. Main Street
Portage, OH 43451
Phone
(419) 352-5115
Fax
(419) 354-4376
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Mr. Steve Foster
Title
Director of Fiscal
Phone
(419) 352-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

351 W. Main Street
Portage, OH 43451

Mailing address

11160 E Gypsy Lane Rd
Bowling Green, OH 43402-9564
Phone (419) 352-5115

Other identifiers 1

IdentifierTypeStateIssuer
0471841MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Wood County Auditor12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1295980324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 E GYPSY LANE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029564",
            "telephone_number": "419-352-5115",
            "fax_number": "419-354-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W. MAIN STREET",
            "city": "PORTAGE",
            "state": "OH",
            "postal_code": "43451",
            "telephone_number": "419-352-5115",
            "fax_number": "419-354-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD COUNTY BOARD OF MR/DD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL",
        "authorized_official_telephone_number": "419-352-5115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471841",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.