NPIMap

Organization Active NPI

Pike Co Board of DD

  • Case Management Agency
  • Waverly, OH
National Provider Identifier
1386360022
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PIKE CO BOARD OF DD
Practice address
330 E. North St.
Waverly, OH 45690
Phone
(740) 947-8470
Fax
(740) 947-8472
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PIKE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Jeff Allen
Title
Superintendent
Phone
(740) 947-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

330 E. North St.
Waverly, OH 45690

Mailing address

330 E. North St.
Waverly, OH 45690
Phone (740) 947-8470

Other identifiers 2

IdentifierTypeStateIssuer
6600011OtherOHDEPT. OF DEVELOPMENTAL DISABILITIES
2567593MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Pike Co9 organizations share this tax ID, including this one
Part of
Pike Co

Other organizations with this tax ID 8

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

Locations

330 E North St
Waverly, OH 45690
Phone (740) 947-8470

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1386360022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E. NORTH ST.",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-8470",
            "fax_number": "740-947-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E. NORTH ST.",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "45690",
            "telephone_number": "740-947-8470",
            "fax_number": "740-947-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE CO BOARD OF DD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKE COUNTY",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-947-8470"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF DEVELOPMENTAL DISABILITIES",
            "identifier": "6600011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2567593",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.