CLARK COUNTY BOARD OF MR/DD (CLARK COUNTY) NPI 1952592198

Case Management in Springfield, OH

NPI 1952592198 Organization Case Management

About CLARK COUNTY BOARD OF MR/DD (CLARK COUNTY)

Clark County Board Of Mr/dd (clark County) is a provider established in Springfield, Ohio specializing in case management. The NPI number of Clark County Board Of Mr/dd (clark County) is 1952592198 and was assigned on August 2007. The practitioner's primary taxonomy code is 251B00000X with license number 2568163 (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Clark County Board Of Mr/dd. The authorized official of this NPI record is Mr. Ravi Shankar (Comptroller)

NPI

1952592198

Provider NameCLARK COUNTY BOARD OF MR/DD (CLARK COUNTY)
Provider Location Address2527 KENTON ST SPRINGFIELD, OH 45505
Provider Mailing Address2527 KENTON ST SPRINGFIELD, OH 45505
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCLARK COUNTY BOARD OF MR/DD
Other Name TypeDoing Business As (3)
Enumeration Date08-05-2007
Last Update Date08-05-2007


Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
License No.2568163
License StateOH
Taxonomy DescriptionAn 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.

Business Address

CLARK COUNTY BOARD OF MR/DD
2527 KENTON ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-2675

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Mailing Address

CLARK COUNTY BOARD OF MR/DD
2527 KENTON ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-2675



Authorized Official

Authorized Official NameMR. RAVI SHANKAR
Authorized Official TitleCOMPTROLLER
Authorized Official Phone(937) 328-2675

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251C00000XAgenciesDay Training, Developmentally Disabled Services2566361OHNo

Taxonomy Description: these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

2251S00000XAgenciesCommunity/Behavioral Health2566361OHNo

Taxonomy Description: a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0345184OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

4320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0531679OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

5320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0559613OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

6320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0888848OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

7320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0850155OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

8320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2082642OHNo

Taxonomy Description: a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2566361MEDICAID (05)OH
2568163MEDICAID (05)OH

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174796684CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1801060181CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1083888366CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1174797450CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1891969176CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1710151097CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675
1922267053CLARK COUNTY
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2527 KENTON ST
SPRINGFIELD, OH 45505
(937) 328-2675

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.