Henry County Board of Developmental Disabilities

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

3510025 Issued in OH

Legal business name

HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

Doing business as

Henry County Residential Home

Practice address

340 E Clinton St
Napoleon, OH 43545-1606

Phone

(419) 592-0238

Fax

(419) 592-0218

NPI assigned

Sep 23, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melinda Slusser

Title

Superintendent

Phone

(419) 599-2892

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henry County Residential Home Doing business as

Tax ID family

County Commissioners3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Country View Haven

  • Custodial Care Facility
  • Napoleon, OH
  • NPI 1073714168
  NPD tax ID
• Henry County Board of DD

  • Case Management Agency
  • Napoleon, OH
  • NPI 1457485104
  NPD tax ID

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1942636808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EAST MAUMEE AVENUE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "43545",
            "telephone_number": "419-599-2892",
            "fax_number": "419-592-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E CLINTON ST",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451606",
            "telephone_number": "419-592-0238",
            "fax_number": "419-592-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "SLUSSER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "419-599-2892"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "3510025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36G165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry County Residential Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Jeffrey Heinrichs, DDS
• Henry County Auditors Office (Henry County Home Health Agency)
• Henry County Auditors Office (Hospice of Henry County)
• Henry County Auditors Office
• Henry County Board of DD
• Henry County Emergency Medical Service
• Henry County Family Physicians Inc
• Henry County Hospital Inc
• Henry County Hospital Inc
• Henry County Hospital Physicians Group

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Napoleon, OH
• Providers in Napoleon, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.