DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES
NPI 1174670285
Intermediate Care Facility, Intellectual Disabilities in Columbus, OH

Q: What is Department Of Mental Retardation And Developmental Disabilities's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since January 04, 2007

1601 W BROAD ST, COLUMBUS, OH 43222(614) 272-0509(614) 272-1054 Get Directions Write a Review

NPPES record last updated: December 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Department Of Mental Retardation And Developmental Disabilities NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES (NPI 1174670285) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Columbus, Ohio and active in the NPI registry since January 2007. The organization lists D Michael Snow, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1174670285

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameDEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES

Location Address1601 W BROAD STColumbus, OH 43222-1054

Mailing Address30 E Broad StColumbus, OH 43215-3414 · (614) 466-1970

Phone(614) 272-0509

Fax(614) 272-1054

Organization SubpartNo

Authorized OfficialD Michael SnowSuperintendent · (614) 272-0509

Enumeration DateJanuary 4, 2007

Last NPPES UpdateDecember 5, 2008

✔ NPI 1174670285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in OH · 2514097

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 2514097 (OH)

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 2514097 (OH)

1601 W BROAD ST, Columbus, OH 43222

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN9333787OH

Medicaid2438080OH

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONETTA LOU COULTER APRN-CNS

Clinical Nurse Specialist (Adult Health)

1601 W BROAD ST
COLUMBUS, OH 43222

Franklin County (614) 272-3115

DR. KRISTIN NICHOLE RASMUSSEN PSY.D.

Psychologist

1601 W BROAD ST
COLUMBUS, OH 43222

Franklin County (614) 272-3082

MIRELA CRISAN

Family Medicine

1601 W BROAD ST
COLUMBUS, OH 43222

Franklin County (614) 205-4596

REMUS NERVEZ MD

Family Medicine

1601 W BROAD ST
COLUMBUS, OH 43222

Franklin County (614) 272-0509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Mental Retardation And Developmental Disabilities's NPI number?

The NPI number for Department Of Mental Retardation And Developmental Disabilities is 1174670285. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Department Of Mental Retardation And Developmental Disabilities located?

Department Of Mental Retardation And Developmental Disabilities is located at 1601 W Broad St, Columbus, OH 43222. The listed phone number is (614) 272-0509.

What is Department Of Mental Retardation And Developmental Disabilities's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Department Of Mental Retardation And Developmental Disabilities was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.