NPIMap

Organization Active NPI

Madison County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • London, OH
National Provider Identifier
1740301688
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
4900012 Issued in OH
Legal business name
MADISON COUNTY BOARD OF MRDD
Practice address
1423 State Route 38 SE
London, OH 43140-8700
Phone
(740) 852-7050
Fax
(740) 852-7051
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Jim Canney
Title
Superintendent
Phone
(740) 852-7050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4900012 OH
Developmentally Disabled Services Day Training Agency 251C00000X 4900012 OH Primary

Addresses

Primary practice location

1423 State Route 38 SE
London, OH 43140-8700

Mailing address

1423 State Route 38 SE
P.O. Box 88
London, OH 43140-8700
Phone (740) 852-7050

Other identifiers 1

IdentifierTypeStateIssuer
2558585MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Madison County Auditor3 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

1423 State Route 38 SE
London, OH 43140
Phone (740) 852-7050

500 Elm St
London, OH 43140

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740301688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 STATE ROUTE 38 SE",
            "address_2": "P.O. BOX 88",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431408700",
            "telephone_number": "740-852-7050",
            "fax_number": "740-852-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 STATE ROUTE 38 SE",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431408700",
            "telephone_number": "740-852-7050",
            "fax_number": "740-852-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CANNEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-852-7050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "4900012",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "4900012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2558585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.