NPIMap

Organization Active NPI

Four County Family Center

  • Nursing Care Agency
  • Wauseon, OH
National Provider Identifier
1972788768
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
PN088950 Issued in OH
Legal business name
FOUR COUNTY FAMILY CENTER
Practice address
7320 State Highway 108
Wauseon, OH 43567-8200
Phone
(419) 335-3462
Fax
(419) 335-3462
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY SERVICES OF NWOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Ms. Beverly Ann Hefflinger, LPN
Title
Nurse
Phone
(419) 335-3732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X PN088950 OH Primary

Addresses

Primary practice location

7320 State Highway 108
Wauseon, OH 43567-8200

Mailing address

7320 State Highway 108
Wauseon, OH 43567-8200
Phone (419) 335-3462

Other identifiers 1

IdentifierTypeStateIssuer
PN088950OtherOHLPN LICENSURE

National Provider Directory

National Provider Directory
Tax ID family
Family Service of NW Ohio7 organizations share this tax ID, including this one
Part of
Family Service of NW Ohio

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1972788768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678200",
            "telephone_number": "419-335-3462",
            "fax_number": "419-335-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 STATE HIGHWAY 108",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435678200",
            "telephone_number": "419-335-3462",
            "fax_number": "419-335-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR COUNTY FAMILY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICES OF NWO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "HEFFLINGER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "419-335-3732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "PN088950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSURE",
            "identifier": "PN088950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.