Organization Active NPI

Delaware County Board of Mental Retardation & Developmental Disabiliti

  • Developmentally Disabled Services Day Training Agency
  • Lewis Center, OH
National Provider Identifier
1306068085
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0873149 Issued in OH
Legal business name
DELAWARE COUNTY BOARD OF MENTAL RETARDATION & DEVELOPMENTAL DISABILITI
Practice address
7991 Columbus Pike
Lewis Center, OH 43035-9611
Phone
(740) 201-3600
NPI assigned
May 3, 2007
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mr. Robert R. Morgan
Title
Superintendent
Phone
(740) 201-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0873149 OH Primary

Addresses

Primary practice location

7991 Columbus Pike
Lewis Center, OH 43035-9611

Mailing address

7991 Columbus Pike
Lewis Center, OH 43035-9611
Phone (740) 201-3600

Other identifiers 1

IdentifierTypeStateIssuer
0873149MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Delaware County Emergency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7991 Columbus Pike
Lewis Center, OH 43035
Phone (740) 201-3600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1306068085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359611",
            "telephone_number": "740-201-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7991 COLUMBUS PIKE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359611",
            "telephone_number": "740-201-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY BOARD OF MENTAL RETARDATION & DEVELOPMENTAL DISABILITI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-201-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "0873149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0873149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.