Organization Active NPI

Tuscarawas County Board of Developmental Disabilities

Doing business as Starlight School

  • Developmentally Disabled Services Day Training Agency
  • New Philadelphia, OH
National Provider Identifier
1750406211
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TUSCARAWAS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES
Doing business as
Starlight School
Practice address
610 Commercial Ave SW
New Philadelphia, OH 44663-9365
Phone
(330) 308-7173
Fax
(330) 339-7539
NPI assigned
Mar 20, 2007
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TUSCARAWAS COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mr. Nate Kamban
Title
Superintendent
Phone
(330) 339-9779

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Early Intervention Provider Agency 252Y00000X NU
Local Education Agency (LEA) 251300000X NU

Addresses

Primary practice location

610 Commercial Ave SW
New Philadelphia, OH 44663-9365

Mailing address

610 Commercial Ave SW
New Philadelphia, OH 44663-9365
Phone (330) 308-7173

Other identifiers 3

IdentifierTypeStateIssuer
7900016OtherOHOHIO DEPT. OF DEVELOPMENTAL DISABILITIES
0869298MedicaidOH
2568949MedicaidOH

Other names 1

  • Starlight School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tuscarawas County4 organizations share this tax ID, including this one
Part of
Tuscarawas County

Other organizations with this tax ID 3

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

Locations

1260 Monroe St NW
New Philadelphia, OH 44663
Phone (330) 302-5339

610 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 308-7173

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1750406211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639365",
            "telephone_number": "330-308-7173",
            "fax_number": "330-339-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639365",
            "telephone_number": "330-308-7173",
            "fax_number": "330-339-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUSCARAWAS COUNTY",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KAMBAN",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "330-339-9779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF DEVELOPMENTAL DISABILITIES",
            "identifier": "7900016",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0869298",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2568949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.