GOODWILL EASTER SEALS OF MIAMI VALLEY (NPI# 1154547883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154547883 |
| Entity Type | Organization |
| Organization Name | GOODWILL EASTER SEALS OF MIAMI VALLEY |
| Other Organization Name | GOODWILL INDUSTRIES OF DAYTON, INC. |
| Practice Address |
660 S Main St Dayton OH 45402 |
| Mailing Address |
660 S Main St Dayton OH 45402-2708 |
| Practice Telephone | 9374614800 |
| Practice Fax Number | 9374619578 |
| Mailing Telephone | 9374614800 |
| Mailing Fax Number | 9374619578 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | MR. LEO DUGDALE III (CFO) |
| Authorized Official Telephone | 9374614800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
S.12248 | OH | Eye and Vision Services Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | 01-0550 | OH | Agencies |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | S.12248 | OH | Suppliers |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2913646 | 05 | |
| OH | 1154547883 | 05 | |
| OH | 2284504 | 05 |
| Other Name | Type Code |
|---|---|
| Goodwill Easter Seals Miami Valley | Other Name - Individual/Organization |
| Goodwill Industries of Dayton, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205297363 | Goodwill Easter Seals of Miami Valley | Community/Behavioral Health | 660 S Main St, Dayton, OH 45402 | 2016-03-16 |
| Street Address |
660 S MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849284 | Stephanie Fair | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2020-04-08 |
| 1902439870 | Kara Paige Schaefer | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2020-02-19 |
| 1598324964 | Alan Avila-john | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2019-06-10 |
| 1285107813 | Michael William Jaynes | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2019-01-07 |
| 1417439605 | Michelle Leigh Leonard | Social Worker | 660 S Main St, Dayton, OH 45402-2708 | 2018-09-04 |
| 1750868626 | Elizabeth Trent Smith | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2018-07-24 |
| 1639656879 | Ashley Mays | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2018-07-20 |
| 1104323278 | Penny Ross | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2018-04-06 |
| 1356848410 | Kierstyn Aldei Crawford | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2018-04-06 |
| 1205297363 | Goodwill Easter Seals of Miami Valley | Community/Behavioral Health | 660 S Main St, Dayton, OH 45402 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352561 | Cheryl Haerer | Day Training, Developmentally Disabled Services | 6935 Sylmar Ct, Dayton, OH 45424-3351 | 2020-10-02 |
| 1477016681 | Parr Enterprises LLC | Day Training, Developmentally Disabled Services | 12 Stults Rd Ste 125, Dayton, NJ 08810-2514 | 2019-04-14 |
| 1710333273 | Guardian Angels Home Services | Day Training, Developmentally Disabled Services | 50 Brenner Ave, Dayton, OH 45403-1122 | 2016-05-13 |
| 1912366303 | Graceworks Enhanced Living | Day Training, Developmentally Disabled Services | 224 N Saint Clair St, Dayton, OH 45402-1230 | 2016-02-15 |
| 1184093155 | A Loving Heart Youth Services Inc | Day Training, Developmentally Disabled Services | 3559 Stanford Pl, Dayton, OH 45406-3641 | 2015-09-21 |
| 1558496893 | Northridge Local School District | Day Training, Developmentally Disabled Services | 2011 Timber Ln, Dayton, OH 45414-4528 | 2007-02-23 |
| 1831237809 | Rhea of Sunshine, Inc. | Day Training, Developmentally Disabled Services | 400 Greenway Blvd, Dayton, TN 37321-7900 | 2007-02-02 |
| 1780055830 | Technology Resouce Center, Inc | Day Training, Developmentally Disabled Services | 660 S Main St, Dayton, OH 45402-2708 | 2015-10-15 |
| 1619291838 | Goodwill Easter Seals Miami Valley | Day Training, Developmentally Disabled Services | 660 S Main St, Dayton, OH 45402-2708 | 2010-03-17 |
| 1124253497 | Heavenly Hills Adult Day Care | Day Training, Developmentally Disabled Services | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-15 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.