MARY V. BYRD – NPI #1073111654
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

MARY BYRD is a community based residential treatment facility located in MARIETTA, OH. NPPES has assigned the NPI number 1073111654 to MARY BYRD on October 15, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY BYRD below.

NPI Profile for
MARY V. BYRD

NPI Number
1073111654
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY V. BYRD
Primary location
37 STERLING RD
MARIETTA, OH 45750
Phone: (740) 516-4496 Fax:
1 Other location(s):
16725 Bronze Heights Ln Lot 1
Caldwell, OH 43724-9264
Phone: (740) 516-0513
Mailing address
PO BOX 283
RENO, OH 45773-0283
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARY BYRD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSUPPLIER IDOH0000240269
MEDICAIDOH0179528
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
OH 8401723

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.