Southern Ohio Adventures Recreation, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SOUTHERN OHIO ADVENTURES RECREATION, LLC

Practice address

112 S Main St
Hamden, OH 45634-8748

Phone

(740) 855-4071

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Tami A Bay

Title

Owner

Phone

(740) 855-4071

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1174029516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "HAMDEN",
            "state": "OH",
            "postal_code": "456340198",
            "telephone_number": "740-855-4071",
            "fax_number": "740-855-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "HAMDEN",
            "state": "OH",
            "postal_code": "456348748",
            "telephone_number": "740-855-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO ADVENTURES RECREATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-855-4071"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Renee Knipp
• Tammy Dawn Lamb, R.N.
• Carol Jean Mercer, RN
• Carla Ann Norris, RN
• Wendy Peoples
• Regina L Sperry
• Brandi D Whalen, LPN

• Developmentally Disabled Services Day Training Agency in Hamden, OH
• Providers in Hamden, 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 Apr 4, 2018; 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.