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SOCIETY FOR HANDICAPPED CITIZENS INC. NPI 1164588992


NPI Information

NPI: 1164588992
Provider Name: SOCIETY FOR HANDICAPPED CITIZENS INC.

Other Name: FAIRVIEW HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 36D2201447

Address:
624 FAIRVIEW DR
CARLISLE, OH
ZIP 45005
Phone: (937) 746-4201
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SOCIETY FOR HANDICAPPED CITIZENS INC. is a residential treatment facility, intellectual and/or developmental disabilities in Carlisle, OH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SOCIETY FOR HANDICAPPED CITIZENS INC. NPI is 1164588992. The provider is registered as an organization entity type.
The provider Other Name Is Fairview Home.

The provider's business location address is:

624 FAIRVIEW DR
CARLISLE, OH
ZIP 45005-145
Phone: (937) 746-4201
Fax: (937) 746-8437

The provider's authorized official is Bobbie Jo Seebach .
The authorized official title is Executive Director and has the following contact phone number (937) 746-4201.

The CLIA number assigned to this NPI record is 36D2201447 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities8310107OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10596467MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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