Active NPI
Society for Handicapped Citizens Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Carlisle, OH
National Provider Identifier
1164588992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 8310107
- Legal business name
- SOCIETY FOR HANDICAPPED CITIZENS INC.
- Practice address
- 624 Fairview Dr
Carlisle, OH 45005-3145 - Phone
- (937) 746-4201
- Fax
- (937) 746-8437
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bobbie Jo Seebach, ADMINISTRATOR
- Title
- Executive Director
- Phone
- (937) 746-4201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 8310107 | OH | Primary |
Addresses
Primary practice location
624 Fairview Dr
Carlisle, OH 45005-3145
Mailing address
624 Fairview Dr
Carlisle, OH 45005-3145
Phone (937) 746-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0596467 | Medicaid | OH |
Other names 1
- Fairview Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G215
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SHC INC/FAIRVIEW HOME
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 2, 1985
- Last certification
- Aug 13, 2025
- Beds
- 12
- Ownership / control type
- Private (non-profit)
- Facility address
- 624 Fairview Drive
Carlisle, OH 45005
National Provider Directory
National Provider DirectoryLocations
624 Fairview Dr
Carlisle, OH 45005
Phone (937) 746-4201
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Franklin, OH
- NPI 1164427019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164588992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 FAIRVIEW DR",
"city": "CARLISLE",
"state": "OH",
"postal_code": "450053145",
"telephone_number": "937-746-4201",
"fax_number": "937-746-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 FAIRVIEW DR",
"city": "CARLISLE",
"state": "OH",
"postal_code": "450053145",
"telephone_number": "937-746-4201",
"fax_number": "937-746-8437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIETY FOR HANDICAPPED CITIZENS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEEBACH",
"authorized_official_first_name": "BOBBIE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "937-746-4201",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "OH",
"license": "8310107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0596467",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairview Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carlisle, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.