Preble County Board of MRDD

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0773104 Issued in OH

Legal business name

PREBLE COUNTY BOARD OF MRDD

Practice address

200 Eaton Lewisburg Rd Ste 201
Eaton, OH 45320-1192

Phone

(937) 404-6213

Fax

(937) 332-1492

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Brian W Green

Title

Superintendent

Phone

(937) 404-6213

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

County of Preble3 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.

• County of Preble

  • State or Local Public Health Clinic/Center
  • Eaton, OH
  • NPI 1346338688
  NPD tax ID
• Preble County Juvenile Tasc

  • Case Management Agency
  • Eaton, OH
  • NPI 1023231586
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1699891978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EATON LEWISBURG RD STE 201",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201192",
            "telephone_number": "937-404-6213",
            "fax_number": "937-332-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EATON LEWISBURG RD STE 201",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201192",
            "telephone_number": "937-404-6213",
            "fax_number": "937-332-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREBLE COUNTY BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "937-404-6213"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "0773104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0773104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Pennington
• Heather Perry, LPN
• Personal Touch Home Care of Ohio, Inc
• Sarah Elizabeth Pierce, COTA/L
• Adam K Pitsinger, DC
• Preble County Council on Aging, Inc.
• Preble County Juvenile Tasc
• Preble County Regional Dialysis Inc
• Preble Home Health Services LLC
• Kassie N Proffitt, BS, CDCA

• Developmentally Disabled Services Day Training Agency in Eaton, OH
• Providers in Eaton, 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 May 9, 2024; 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.