Acclaim Senior Activities Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ACCLAIM SENIOR ACTIVITIES CENTER

Practice address

3878 Indian Ripple Rd
Beavercreek, OH 45440-3448

Phone

(937) 912-9061

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Paullecia Brown-Scott, COTA/L

Title

Executive Director

Phone

(937) 912-9061

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paullecia Biddings

  • Occupational Therapy Assistant
  • Englewood, OH
  • NPI 1922258482
  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1154937688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 INDIAN RIPPLE RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403448",
            "telephone_number": "937-912-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 INDIAN RIPPLE RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403448",
            "telephone_number": "937-912-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM SENIOR ACTIVITIES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN-SCOTT",
        "authorized_official_first_name": "PAULLECIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-912-9061",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Beavercreek",
            "affiliation": "N",
            "address_1": "3878 Indian Ripple Rd",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454403448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.