LICKING COUNTY BOARD OF MRDD


Address: 65 W Church St, Newark, OH 43055-5013
Phone: 7403496588

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 0773051 05

Office Location

Street Address 65 W CHURCH ST
City NEWARK
State OH
Zip Code 43055-5013

Providers in the same zip code

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 Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City NEWARK
Zip Code 43055

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Dataset Information

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.

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