LICKING COUNTY BOARD OF MRDD (NPI# 1295860724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295860724 |
Entity Type | Organization |
Organization Name | LICKING COUNTY BOARD OF MRDD |
Practice Address |
65 W Church St Newark OH 43055-5013 |
Practice Telephone | 7403496588 |
Practice Fax Number | 7403496595 |
Mailing Telephone | 7403496588 |
Mailing Fax Number | 7403496595 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. GARY SMITH (DIRECTOR OF FINANCE) |
Authorized Official Telephone | 7403496588 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 251B00000X | Case Management | 4500016 | OH | Agencies |
X | 251C00000X | Day Training, Developmentally Disabled Services | 4500016 | OH | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0773051 | 05 |
Street Address |
65 W CHURCH ST |
City | NEWARK |
State | OH |
Zip Code | 43055-5013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
Find all providers in zip 43055 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720618523 | Behavior Intervention Group.corp | Case Management | 625 Broad St Ste 240, Newark, NJ 07102-4417 | 2020-01-21 |
1982139556 | City Hill Cdc | Case Management | 703 S 12th St, Newark, NJ 07103-1733 | 2017-04-20 |
1528591500 | Bemi Care Human Services LLC | Case Management | 179b Court St, Newark, NJ 07103-3824 | 2017-04-06 |
1609235977 | We Care Community Wellness Connection | Case Management | 296 Kerrigan Blvd, Suite 5 3rd Floor, Newark, NJ 07106-3437 | 2016-02-15 |
1134529464 | Valueoptions of New Jersey, Inc. | Case Management | 3 Penn Plz E # Pp-03v, Newark, NJ 07105-2258 | 2014-08-22 |
1982020582 | Wellcare Health Plans of New Jersey, Inc. | Case Management | 550 Broad St, 12th Floor, Newark, NJ 07102-4531 | 2014-03-07 |
1679910699 | Topaz Developments | Case Management | 45 Academy St Ste 309, Newark, NJ 07102-2900 | 2013-05-31 |
1992001945 | Vip Care, Inc. | Case Management | 60 Ferry St Ste A, Newark, NJ 07105-1888 | 2011-02-08 |
1184678500 | The Main Place, Inc. | Case Management | 112 S 3rd St, Newark, OH 43055-5335 | 2006-05-20 |
1558995993 | Behavior Intervention Group.corp | Case Management | 625 Broad St Ste 240, Newark, NJ 07102-4417 | 2020-02-25 |
Find all providers in NEWARK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.