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PAULDING COUNTY BOARD OF MRDD NPI 1629193420


NPI Information

NPI: 1629193420
Provider Name: PAULDING COUNTY BOARD OF MRDD
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 36D0859346

Address:
900 FAIRGROUND DR
PAULDING, OH
ZIP 45879
Phone: (419) 399-4800
Get Directions

PAULDING COUNTY BOARD OF MRDD is a day training developmentally disabled services in Paulding, OH. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PAULDING COUNTY BOARD OF MRDD NPI is 1629193420. The provider is registered as an organization entity type.

The provider's business location address is:

900 FAIRGROUND DR
PAULDING, OH
ZIP 45879-261
Phone: (419) 399-4800
Fax: (419) 399-4820

The provider's authorized official is Jane A. Gray .
The authorized official title is Superintendent and has the following contact phone number (419) 399-4800.

The CLIA number assigned to this NPI record is 36D0859346 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16300014MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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