Active NPI
Hattie Larlham Center for Children With Disabilities
- Developmentally Disabled Services Day Training Agency
- Westerville, OH
National Provider Identifier
1922150200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES
- Practice address
- 769 Brooksedge Blvd
Westerville, OH 43081-2821 - Phone
- (614) 486-4361
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Snyder
- Title
- Cfo
- Phone
- (330) 840-6851
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
769 Brooksedge Blvd
Westerville, OH 43081-2821
Mailing address
9772 Diagonal Rd
Mantua, OH 44255-9128
Phone (614) 486-4361
Other practice location 1
1392 Dublin Rd
Columbus, OH 43215-1009
Phone (614) 486-4361
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0567855 | Medicaid | OH | |
| 0550210 | Medicaid | OH | |
| 0557697 | Medicaid | OH | |
| 2500672 | Medicaid | OH | |
| 0575542 | Medicaid | OH | |
| 0508025 | Medicaid | OH | |
| 0575533 | Medicaid | OH | |
| 2561900 | Medicaid | OH | |
| 0512663 | Medicaid | OH | |
| 2522229 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Association for the Developmentally Disabled
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Columbus, OH
- NPI 1053865568
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Columbus, OH
- NPI 1376096909
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Columbus, OH
- NPI 1386197929
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Columbus, OH
- NPI 1619420254
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Reynoldsburg, OH
- NPI 1992258776
-
dba Association for the Developmentally Disabled
- Intellectual Disabilities Intermediate Care Facility
- Columbus, OH
- NPI 1053864694
Locations
1392 Dublin Rd
Columbus, OH 43215
Phone (614) 486-4361
769 Brooksedge Blvd
Westerville, OH 43081
Phone (614) 486-4361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602460800000",
"number": "1922150200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9772 DIAGONAL RD",
"city": "MANTUA",
"state": "OH",
"postal_code": "442559128",
"telephone_number": "614-486-4361",
"fax_number": "614-486-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 BROOKSEDGE BLVD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812821",
"telephone_number": "614-486-4361"
}
],
"practiceLocations": [
{
"address_1": "1392 Dublin Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432151009",
"country_code": "US",
"telephone_number": "614-486-4361",
"fax_number": "614-486-3191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABILITIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "330-840-6851"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0567855",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0550210",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0557697",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500672",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0575542",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0508025",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0575533",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2561900",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0512663",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2522229",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.