Healthcare Provider Details

I. General information

NPI: 1700390432
Provider Name (Legal Business Name): PAULDING COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 10/19/2026
Certification Date: 10/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E. JACKSON STREET
PAULDING OH
45879
US

IV. Provider business mailing address

401 E. JACKSON STREET
PAULDING OH
45879
US

V. Phone/Fax

Practice location:
  • Phone: 419-399-3650
  • Fax: 419-399-3781
Mailing address:
  • Phone: 419-399-3650
  • Fax: 419-399-3781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KARI LYNN MORHART
Title or Position: SENIOR CENTER EXECUTIVE DIRECTOR
Credential:
Phone: 419-399-3650