Active NPI
Tuscarawas County Board of Developmental Disabilities
Doing business as Starlight School
- Developmentally Disabled Services Day Training Agency
- New Philadelphia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- TUSCARAWAS COUNTY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7900016 | Other | OH | OHIO DEPT. OF DEVELOPMENTAL DISABILITIES |
| 0869298 | Medicaid | OH | |
| 2568949 | Medicaid | OH |
Other names 1
- Starlight School
National Provider Directory
National Provider Directory- Tax ID family
- Tuscarawas County
- Part of
- Tuscarawas County
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Tuscarwas County General Health District Dental Program
- Dentist
- Dover, OH
- NPI 1003205378
-
dba Alcohol and Addiction Program
- Community/Behavioral Health Agency
- Dover, OH
- NPI 1124388517
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.