NPIMap

Organization Active NPI

Lucas County Board MRDD

  • Developmentally Disabled Services Day Training Agency
  • Toledo, OH
National Provider Identifier
1689897969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
4800013 Issued in OH
Legal business name
LUCAS COUNTY BOARD MRDD
Practice address
1154 Larc LN
Toledo, OH 43614-2768
Phone
(419) 380-4000
Fax
(419) 380-5136
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Trunk
Title
Superintendent
Phone
(419) 380-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 4800013 OH Primary

Addresses

Primary practice location

1154 Larc LN
Toledo, OH 43614-2768

Mailing address

1154 Larc LN
Toledo, OH 43614-2768
Phone (419) 380-4000

Other identifiers 1

IdentifierTypeStateIssuer
4800013OtherOHCOUNTY NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Lucas County Board MRDD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1154 Larc Ln
Toledo, OH 43614
Phone (419) 380-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689897969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LARC LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142768",
            "telephone_number": "419-380-4000",
            "fax_number": "419-380-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LARC LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142768",
            "telephone_number": "419-380-4000",
            "fax_number": "419-380-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS COUNTY BOARD MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUNK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "419-380-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "4800013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY NUMBER",
            "identifier": "4800013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • 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.