National Provider Identifier Database

PORTAGE COUNTY BOARD OF DEVELOPMENTAL DISABILIT
Day Training, Developmentally Disabled Services

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.


Contact Information

PORTAGE COUNTY BOARD OF DEVELOPMENTAL DISABILIT
7008 STATE ROUTE 88
RAVENNA, OH44266-9188
Phone: 330-296-2839
Fax: 330-297-8875
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X
Bus 347B00000X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Early Intervention Provider Agency 252Y00000X
Home Health 251E00000X
Private Vehicle 347C00000X
Public Health or Welfare 251K00000X
Taxi 344600000X

* Indicates primary specialty

NPI Profile & details for PORTAGE COUNTY BOARD OF DEVELOPMENTAL DISABILIT

NPI Number 1639164205
Legal business name
LBN
PORTAGE COUNTY BOARD OF DEVELOPMENTAL DISABILIT
Authorized official OMAR NAGI - (SUPERINTENDENT)
Entity Organization
Organization subpart Yes
Enumeration date 09/20/2005
Last updated 09/22/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • OH License #: 0776129
  • OH License #: 2560072
  • OH Medicaid: 6700010

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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