NPIMap

Organization Active NPI

Richland County Board of DD

  • Case Management Agency
  • Mansfield, OH
National Provider Identifier
1790263184
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RICHLAND COUNTY BOARD OF DD
Practice address
1440 Harding Ave
Mansfield, OH 44906-2756
Phone
(419) 774-4200
NPI assigned
Jul 30, 2018
Organization subpart
Yes
Parent organization
RICHLAND COUNTY BOARD OF DDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mrs. Shauna R Hooks, BSBA ACCOUNTING
Title
Lead Accountant
Phone
(419) 774-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1440 Harding Ave
Mansfield, OH 44906-2756

Mailing address

314 Cleveland Ave
Mansfield, OH 44902-8623
Phone (419) 774-7836

Other identifiers 1

IdentifierTypeStateIssuer
36G576MedicaidOH

Other names 1

  • Harding Avenue Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G576

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HARDING AVENUE HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 19, 2002
Last certification
Apr 3, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1440 Harding Avenue
Mansfield, OH 44906

National Provider Directory

National Provider Directory
Tax ID family
Richland Co Community Alternative Center9 organizations share this tax ID, including this one
Part of
Richland Co Community Alternative Center

Other organizations with this tax ID 8

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

Locations

314 Cleveland Ave
Mansfield, OH 44902
Phone (419) 774-4200

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1790263184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CLEVELAND AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449028623",
            "telephone_number": "419-774-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HARDING AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062756",
            "telephone_number": "419-774-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND COUNTY BOARD OF DD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHLAND COUNTY BOARD OF DD",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LEAD ACCOUNTANT",
        "authorized_official_telephone_number": "419-774-4200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSBA ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36G576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harding Avenue Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.