MONTGOMERY DEVELOPMENTAL CENTER NPI 1669538955

NPI Information

NPI: 1669538955
Provider Name: MONTGOMERY DEVELOPMENTAL CENTER
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
7650 TIMBERCREST DR
HUBER HEIGHTS, OH
ZIP 45424
Phone: (937) 233-8108
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MONTGOMERY DEVELOPMENTAL CENTER is an intermediate care facility mental illness in Huber Heights, OH. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. MONTGOMERY DEVELOPMENTAL CENTER NPI is 1669538955. The provider is registered as an organization entity type.

The provider's business location address is:

7650 TIMBERCREST DR
HUBER HEIGHTS, OH
ZIP 45424-405
Phone: (937) 233-8108
Fax: (937) 233-1477

The provider's authorized official is Doug A Carter .
The authorized official title is Business Administrator and has the following contact phone number (937) 233-8108.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310500000X	Intermediate Care Facility, Mental Illness				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9333789	MEDICARE PIN	OHIO
2	2411278	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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