Active NPI
Hill Manor Enterprise
- Developmentally Disabled Services Day Training Agency
- Groveport, OH
National Provider Identifier
1306278544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 2502607
- Legal business name
- HILL MANOR ENTERPRISE
- Practice address
- 5585 Morgan CT
Groveport, OH 43125-9763 - Phone
- (614) 402-8044
- NPI assigned
- Jul 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fannie Mills
- Title
- Ceo
- Phone
- (614) 402-8044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 2502607 | OH | Primary |
Addresses
Primary practice location
5585 Morgan CT
Groveport, OH 43125-9763
Mailing address
PO Box 7128
Columbus, OH 43205-0128
Phone (614) 402-8044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2502607 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375142400000",
"number": "1306278544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7128",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432050128",
"telephone_number": "614-402-8044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5585 MORGAN CT",
"city": "GROVEPORT",
"state": "OH",
"postal_code": "431259763",
"telephone_number": "614-402-8044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL MANOR ENTERPRISE",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "FANNIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-402-8044"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": "2502607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2502607",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Groveport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.