Organization Active NPI

Hill Manor Enterprise

  • Developmentally Disabled Services Day Training Agency
  • Groveport, OH
National Provider Identifier
1306278544
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2502607 Issued in OH
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

Updated by the provider on Jul 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2502607MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.