Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Department of Mental Retardation and Developmental Disabilities

Organization Mental Illness Intermediate Care Facility · NPI 1174670285

Department of Mental Retardation and Developmental Disabilities is a Mental Illness Intermediate Care Facility in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
3

Practice location Address checks out

1601 W Broad St
Columbus, OH 43222-1054
Phone: (614) 272-0509
Fax: (614) 272-1054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 2514097 (OH)
Mental Illness Intermediate Care Facility Taxonomy 310500000X · Licence 2514097 (OH)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence 2514097 (OH)

Record details

NPI number1174670285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official D Snow — Superintendent · (614) 272-0509
NPI enumeratedJanuary 4, 2007
Last updated in NPPESDecember 5, 2008
Mailing address30 E Broad St, Columbus, OH 43215-3414

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