NPIMap

Organization Active NPI

Lifestages - Samaritan Centers for Women LTD

  • Specialist
  • Dayton, OH
National Provider Identifier
1205882677
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD
Practice address
9000 N Main St
Suite 232
Dayton, OH 45415-1180
Phone
(937) 277-8988
Fax
(937) 832-2421
NPI assigned
May 26, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Ms. Kelly Guerrant
Title
Executive Assistance
Phone
(937) 277-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9000 N Main St
Suite 232
Dayton, OH 45415-1180

Mailing address

9000 N Main St
Suite 232
Dayton, OH 45415-1180
Phone (937) 277-8988

Other identifiers 1

IdentifierTypeStateIssuer
2077523MedicaidOH

National Provider Directory

National Provider Directory

Locations

30 W Rahn Rd
Unit 26
Dayton, OH 45429
Phone (937) 479-2793

3038 Olive Rd
Trotwood, OH 45426
Phone (937) 208-7050

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1205882677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 232",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-277-8988",
            "fax_number": "937-832-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "SUITE 232",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-277-8988",
            "fax_number": "937-832-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "GUERRANT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANCE",
        "authorized_official_telephone_number": "937-277-8988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.