Organization Active NPI

Center for Disability Services

  • In Home Supportive Care Agency
  • Heath, OH
National Provider Identifier
1326646126
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CENTER FOR DISABILITY SERVICES
Practice address
667 Hopewell Drive
Heath, OH 43056
Phone
(740) 344-2995
Fax
(740) 344-8335
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Mrs. Regan Eveland
Title
Ceo
Phone
(740) 344-2995

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

667 Hopewell Drive
Heath, OH 43056

Mailing address

667 Hopewell Drive
Heath, OH 43056
Phone (740) 344-2995

Other identifiers 2

IdentifierTypeStateIssuer
4300169OtherOHDODD WALVER PROVIDER
0873050MedicaidOH

Other names 1

  • The Arc of Licking County Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1326646126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HOPEWELL DRIVE",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "43056",
            "telephone_number": "740-344-2995",
            "fax_number": "740-344-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 HOPEWELL DRIVE",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "43056",
            "telephone_number": "740-344-2995",
            "fax_number": "740-344-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-344-2995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD WALVER PROVIDER",
            "identifier": "4300169",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0873050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arc of Licking County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Heath, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.