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HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES NPI 1942636808


NPI Information

NPI: 1942636808
Provider Name: HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

Doing Business As: HENRY COUNTY RESIDENTIAL HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
340 E CLINTON ST
NAPOLEON, OH
ZIP 43545
Phone: (419) 592-0238
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HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES is a community based residential treatment facility, intellectual and/or developmental disabilities in Napoleon, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. HENRY COUNTY BOARD OF DEVELOPMENTAL DISABILITIES NPI is 1942636808. The provider is registered as an organization entity type.
The provider Is Doing Business As Henry County Residential Home.

The provider's business location address is:

340 E CLINTON ST
NAPOLEON, OH
ZIP 43545-606
Phone: (419) 592-0238
Fax: (419) 592-0218

The provider's authorized official is Melinda Slusser .
The authorized official title is Superintendent and has the following contact phone number (419) 599-2892.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 9/23/2013.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities3510025OHIOYes

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
136G165MEDICAIDOHIO

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: 5/5/2024

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