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COMMUNITY CONCEPTS INC. NPI 1801953682


NPI Information

NPI: 1801953682
Provider Name: COMMUNITY CONCEPTS, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
6699 TRI WAY DR
MASON, OH
ZIP 45040
Phone: (513) 398-8885
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COMMUNITY CONCEPTS, INC. is an intermediate care facility mentally retarded in Mason, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY CONCEPTS, INC. NPI is 1801953682. The provider is registered as an organization entity type.

The provider's business location address is:

6699 TRI WAY DR
MASON, OH
ZIP 45040-604
Phone: (513) 398-8885
Fax: (513) 398-8181

The provider's authorized official is Betty Davis .
The authorized official title is Administrator and has the following contact phone number (513) 398-8885.

The enumeration date for this NPI number is 1/2/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual Disabilities8310296OHIOYes

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
10119437MEDICAIDOHIO

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: 11/14/2023

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