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SCIOTO COUNTY BOARD OF MRDD NPI 1861516056


NPI Information

NPI: 1861516056
Provider Name: SCIOTO COUNTY BOARD OF MRDD
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 36D0883926

Address:
2619 GALLIA ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 354-3938
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SCIOTO COUNTY BOARD OF MRDD is a day training developmentally disabled services in Portsmouth, 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. SCIOTO COUNTY BOARD OF MRDD NPI is 1861516056. The provider is registered as an organization entity type.

The provider's business location address is:

2619 GALLIA ST
PORTSMOUTH, OH
ZIP 45662-805
Phone: (740) 354-3938
Fax: (740) 353-0780

The provider's authorized official is Brenda Benson .
The authorized official title is Superintendent and has the following contact phone number (740) 353-0636.

The CLIA number assigned to this NPI record is 36D0883926 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 7/21/2022.


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 ServicesOHIOYes

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
12567486MEDICAIDOHIO

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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