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MAPLE KNOLL OUTREACH SERVICES NPI 1205234572


NPI Information

NPI: 1205234572
Provider Name: MAPLE KNOLL OUTREACH SERVICES

Former Legal Business Name: FORMERLY SYCAMORE SENIOR CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
11275 SPRINGFIELD PIKE
CINCINNATI, OH
ZIP 45246
Phone: (513) 984-1234
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MAPLE KNOLL OUTREACH SERVICES is a community behavioral health in Cincinnati, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MAPLE KNOLL OUTREACH SERVICES NPI is 1205234572. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Formerly Sycamore Senior Center.

The provider's business location address is:

11275 SPRINGFIELD PIKE
CINCINNATI, OH
ZIP 45246-113
Phone: (513) 984-1234
Fax: (513) 686-1040

The provider's authorized official is Joshua L Howard .
The authorized official title is Director and has the following contact phone number (513) 686-1004.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 9/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)1623OHIONo
2251S00000XCommunity/Behavioral Health1623OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10790550MEDICAIDOHIO

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

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