Collective Visions Community Program, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COLLECTIVE VISIONS COMMUNITY PROGRAM, LLC

Practice address

9624 Cincinnati Columbus Rd Ste 108
West Chester, OH 45241-4123

Phone

(513) 305-3055

NPI assigned

Dec 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Niel Hartman

Title

Owner

Phone

(513) 305-3055

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1083201958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450710695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 CINCINNATI COLUMBUS RD STE 108",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452414123",
            "telephone_number": "513-305-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE VISIONS COMMUNITY PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "NIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-305-3055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in West Chester, OH
• Providers in West Chester, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.