Organization Active NPI

Society for Handicapped Citizens Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Carlisle, OH
National Provider Identifier
1164588992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
8310107 Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0596467MedicaidOH

Other names 1

  • Fairview Home Other name

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 Directory

Locations

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.

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

Verify at the official NPI Registry.