Organization Active NPI

Dothan Houston County Mental Retardation Board, Inc.

Doing business as Vaughn Blumberg Services

  • Case Management Agency
  • Dothan, AL
National Provider Identifier
1922170109
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DOTHAN HOUSTON COUNTY MENTAL RETARDATION BOARD, INC.
Doing business as
Vaughn Blumberg Services
Practice address
2715 Flynn Rd
Dothan, AL 36303-1162
Phone
(334) 793-3102
Fax
(334) 793-7740
NPI assigned
Nov 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
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. Ed Dorsey, B.S.
Title
Executive Director
Phone
(334) 793-3102

Specialties & licenses 2

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

Addresses

Primary practice location

2715 Flynn Rd
Dothan, AL 36303-1162

Mailing address

2715 Flynn Rd
Dothan, AL 36303-1162
Phone (334) 793-3102

Other names 1

  • Vaughn Blumberg Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dothan Houston County Mental Retardation Board Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2715 Flynn Rd
Dothan, AL 36303
Phone (334) 793-3102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1922170109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FLYNN RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031162",
            "telephone_number": "334-793-3102",
            "fax_number": "334-793-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 FLYNN RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031162",
            "telephone_number": "334-793-3102",
            "fax_number": "334-793-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN HOUSTON COUNTY MENTAL RETARDATION BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-793-3102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaughn Blumberg Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

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.