SOUTH COMMUNITY INC (NPI# 1639128176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128176 |
| Entity Type | Organization |
| Organization Name | SOUTH COMMUNITY INC |
| Practice Address |
3095 Kettering Blvd Moraine OH 45439 |
| Practice Telephone | 9372938300 |
| Practice Fax Number | 9375341353 |
| Mailing Telephone | 9372938300 |
| Mailing Fax Number | 9375341353 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | CAROL M SMERZ (CEO) |
| Authorized Official Telephone | 9372938300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0101 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MC34-1000 | 05 | |
| OH | 0320870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528484664 | South Community Inc | Community/Behavioral Health | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2014-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH COMMUNITY INC. | 3095 Kettering Blvd, Dayton, OH 45439-1983 |
| Street Address |
3095 KETTERING BLVD |
| City | MORAINE |
| State | OH |
| Zip Code | 45439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490241 | Michelle L Schaffer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2006-01-06 |
| 1235730839 | Ruby Deanna Fortson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-11-02 |
| 1508466566 | Rebecca Khamis | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-29 |
| 1821698010 | Nikhaya Adams | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-28 |
| 1790385110 | Ashley Dawn Hyer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-26 |
| 1275131187 | Steven Thompson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-13 |
| 1205434230 | Kathleen E Robbins | Registered Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-12 |
| 1689271462 | Lindsey Marie Montano | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-05 |
| 1801493044 | Ashley Nicole Koverman | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-01 |
| 1598370009 | Yolanda Williams | Licensed Practical Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689932626 | South Community Inc. | Clinic/Center | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2012-04-27 |
| 1427289818 | South Community Inc. | Clinic/Center | 3095 Kettering Blvd, Moraine, OH 45439 | 2009-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
| 1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH COMMUNITY INC.
| 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.