Active NPI
Center for Disability Services
- In Home Supportive Care Agency
- Heath, OH
National Provider Identifier
1326646126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4300169 | Other | OH | DODD WALVER PROVIDER |
| 0873050 | Medicaid | OH |
Other names 1
- The Arc of Licking County
National Provider Directory
National Provider DirectoryNPI 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.