Morrow County Board of MRDD

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0810386 Issued in OH

Legal business name

MORROW COUNTY BOARD OF MRDD

Practice address

440 Douglas Street
Mount Gilead, OH 43338

Phone

(419) 947-9222

Fax

(419) 947-8195

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerome C Manuel

Title

Superintendent

Phone

(419) 947-7045

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Morrow County Board of MRDD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Morrow County Board of MRDD

  • Case Management Agency
  • Mount Gilead, OH
  • NPI 1477317683
  NPD tax ID

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629290085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BANK STREET",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381300",
            "telephone_number": "419-947-7045",
            "fax_number": "419-947-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 DOUGLAS STREET",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "43338",
            "telephone_number": "419-947-9222",
            "fax_number": "419-947-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORROW COUNTY BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "419-947-7045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "0810386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0810386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Molski, CT
• Kimberly Ann Moritz, CNP
• Morrow Co
• Morrow Co. Services for Older Citizens, Inc.
• Morrow County Board of MRDD
• Morrow County Dental, Leslie McDougall,DDS,LLC
• Morrow County Firefighters & Squadmens Association
• Morrow County Hospital
• Morrow County Hospital
• Morrow County Hospital

• Developmentally Disabled Services Day Training Agency in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.