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CLARK COUNTY BOARD OF MR/DD YELLOW ICF/MR
NPI 1922267053
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, OH

Active since June 04, 2008
2527 KENTON ST, SPRINGFIELD, OH 45505(937) 328-2675(937) 328-4625 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark County Board Of Mr/dd Yellow Icf/mr NPPES

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

CLARK COUNTY BOARD OF MR/DD YELLOW ICF/MR (NPI 1922267053) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Springfield, Ohio and active in the NPI registry since June 2008. The organization lists Ravi R Shankar, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1922267053
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCLARK COUNTY
Location Address2527 KENTON STSpringfield, OH 45505-3352
Mailing Address2527 Kenton StSpringfield, OH 45505-3352 · (937) 328-2675 · Fax (937) 328-4625
Phone(937) 328-2675
Fax(937) 328-4625
Organization SubpartNo
Authorized OfficialRavi R ShankarComptroller · (937) 328-4626
Enumeration DateJune 4, 2008
✔ NPI 1922267053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in OH · 2814576
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2527 KENTON ST, Springfield, OH 45505
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Other Names 1

Doing Business AsClark County Board Of Mr/dd Yellow Icf/mr

Other Identifiers 1

Medicaid2815476OH

Other Providers at the Same Location NPPES 7

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

CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675
CLARK COUNTY
Case Management
2527 KENTON ST
SPRINGFIELD, OH 45505
Clark County (937) 328-2675

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 Clark County's NPI number?

The NPI number for Clark County is 1922267053. It was assigned to this organization in the NPPES registry on June 4, 2008. The provider is doing business as Clark County Board Of Mr/Dd Yellow Icf/Mr.

Where is Clark County located?

Clark County is located at 2527 Kenton St, Springfield, OH 45505. The listed phone number is (937) 328-2675.

What is Clark County's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Clark County was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.