NPIMap

Organization Active NPI

Harrison County Board of Developmental Disabilities

  • Case Management Agency
  • Cadiz, OH
National Provider Identifier
1396866232
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HARRISON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Practice address
82480 Cadiz -Jewett Road
Cadiz, OH 43907-9427
Phone
(740) 695-0407
Fax
(740) 942-9012
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Gloria Llewellyn
Title
Assistant Superintendent
Phone
(740) 695-0407

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X 3400019 OH
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

82480 Cadiz -Jewett Road
Cadiz, OH 43907-9427

Mailing address

82480 Cadiz -Jewett Road
Cadiz, OH 43907-9427
Phone (740) 695-0407

National Provider Directory

National Provider Directory
Tax ID family
Harrison County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

82480 Cadiz Jewett Rd
Cadiz, OH 43907
Phone (740) 695-0407

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1396866232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82480 CADIZ -JEWETT ROAD",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079427",
            "telephone_number": "740-695-0407",
            "fax_number": "740-942-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82480 CADIZ -JEWETT ROAD",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079427",
            "telephone_number": "740-695-0407",
            "fax_number": "740-942-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "740-695-0407"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "3400019",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.