GOODWILL EASTER SEALS OF MIAMI VALLEY NPI 1154547883

NPI Information

NPI: 1154547883
Provider Name: GOODWILL EASTER SEALS OF MIAMI VALLEY

Former Legal Business Name: GOODWILL INDUSTRIES OF DAYTON, INC.

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
660 S MAIN ST
DAYTON, OH
ZIP 45402
Phone: (937) 461-4800
Get Directions

GOODWILL EASTER SEALS OF MIAMI VALLEY is a day training developmentally disabled services in Dayton, OH. The provider is 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. GOODWILL EASTER SEALS OF MIAMI VALLEY NPI is 1154547883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Goodwill Industries Of Dayton, Inc..

The provider's business location address is:

660 S MAIN ST
DAYTON, OH
ZIP 45402
Phone: (937) 461-4800
Fax: (937) 461-9578

The provider's authorized official is Leo Dugdale .
The authorized official title is Cfo and has the following contact phone number (937) 461-4800.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 6/29/2018.

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
1	101Y00000X	Counselor				No
2	156FX1800X	Technician/Technologist	Optician	S.12248	OHIO	No
3	171M00000X	Case Manager/Care Coordinator				No
4	251B00000X	Case Management				No
5	251E00000X	Home Health				No
6	251S00000X	Community/Behavioral Health		01-0550	OHIO	No
7	332H00000X	Eyewear Supplier		S.12248	OHIO	No
8	251C00000X	Day Training, Developmentally Disabled Services				Yes

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
1	2284504	MEDICAID	OHIO
2	2913646	MEDICAID	OHIO
3	1154547883	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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