NPIMap

Organization Active NPI

Athens County Board of Developmental Disabilities

  • Case Management Agency
  • Athens, OH
National Provider Identifier
1578563151
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ATHENS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Practice address
801 W Union St
Athens, OH 45701-9411
Phone
(740) 594-3539
Fax
(740) 593-3189
NPI assigned
Jul 26, 2005
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Raymond Scott Zielinski
Title
Director of Finance
Phone
(740) 541-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

801 W Union St
Athens, OH 45701-9411

Mailing address

801 W Union St
Athens, OH 45701-9411
Phone (740) 594-3539

Other identifiers 2

IdentifierTypeStateIssuer
0500014OtherOHOHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
2568449MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Athens County5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

801 W Union St
Athens, OH 45701
Phone (740) 594-3539

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1578563151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019411",
            "telephone_number": "740-594-3539",
            "fax_number": "740-593-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W UNION ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019411",
            "telephone_number": "740-594-3539",
            "fax_number": "740-593-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "ZIELINSKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "740-541-8473"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "0500014",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.