INTERVENTION CENTER OF AMERICA (NPI# 1790339703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790339703 |
| Entity Type | Organization |
| Organization Name | INTERVENTION CENTER OF AMERICA |
| Practice Address |
6929 N Main St Dayton OH 45415-2563 |
| Practice Telephone | 9372047506 |
| Mailing Telephone | 9372047506 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Authorized Official Name | LAMICAH BETTS (INTAKE COORDINATOR) |
| Authorized Official Telephone | 9372047506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
6929 N MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841394442 | Tae W Kim | Obstetrics & Gynecology | 6929 N Main St, Dayton, OH 45415 | 2006-09-12 |
| 1134686819 | Susan Ruth Flagg-stewart | Counselor | 6929 N Main St, Dayton, OH 45415-2563 | 2019-02-28 |
| 1598220329 | Charles Richard Leonhardt | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2019-02-06 |
| 1790251791 | Stephanie Nicole Flaugher | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2018-10-17 |
| 1457826539 | Curtis Trey Norvell | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2018-10-04 |
| 1669956108 | Tery Lin Hill | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2018-09-20 |
| 1497239149 | Shaun Anthony Sabin | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2018-09-19 |
| 1124502000 | Christopher William Joseph Meyer Jr. | Counselor | 6929 N Main St, Dayton, OH 45415-2563 | 2018-09-18 |
| 1699257394 | Erin Conley | Case Manager/Care Coordinator | 6929 N Main St, Dayton, OH 45415-2563 | 2018-08-30 |
| 1740761907 | Sarah Bethany Palmer | Counselor | 6929 N Main St, Dayton, OH 45415-2563 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598327405 | Eliminating Barriers & Conquering Goals LLC | Substance Abuse Rehabilitation Facility | 4825 Hassan Cir Apt 2, Dayton, OH 45432-1315 | 2019-07-01 |
| 1023558889 | All Roads Recovery LLC | Substance Abuse Rehabilitation Facility | 411 Ryburn Ave Apt 1, Dayton, OH 45405-2560 | 2017-02-27 |
| 1679011787 | We Do Recover Ministry | Substance Abuse Rehabilitation Facility | 1722 Home Ave, Dayton, OH 45402-6918 | 2017-02-09 |
| 1568845634 | Jcorbittllc | Substance Abuse Rehabilitation Facility | 3688 Wales Drive, Dayton, OH 45406-2439 | 2015-07-07 |
| 1962768283 | Transitions, Inc. | Substance Abuse Rehabilitation Facility | 925 5th Ave, Dayton, KY 41074-1305 | 2012-04-11 |
| 1578647095 | Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 581 Infirmary Road, Dayton, OH 45427 | 2006-10-24 |
| 1548217748 | Nova Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 732 Beckman Street, Dayton, OH 45410-2165 | 2006-05-31 |
| 1346897295 | 2ndchancehaven | Substance Abuse Rehabilitation Facility | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2019-08-23 |
| 1235782004 | Shaniqua Carmen Hazlip | Substance Abuse Rehabilitation Facility | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2019-07-22 |
| 1639652084 | Sunrise Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 1435 Cincinnati St Ste 150, Dayton, OH 45417-4614 | 2018-09-12 |
| 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.