Organization Active NPI

Choices in Community Living, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Dayton, OH
National Provider Identifier
1225199896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CHOICES IN COMMUNITY LIVING, INC.
Practice address
1651 Needmore Rd
Dayton, OH 45414-3801
Phone
(937) 898-2220
Fax
(937) 898-3553
NPI assigned
Dec 13, 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
Mr. W Thomas Weaver
Title
Executive Director
Phone
(937) 898-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1651 Needmore Rd
Dayton, OH 45414-3801

Mailing address

1651 Needmore Road
Dayton, OH 45414-3851
Phone (937) 898-2220

Other identifiers 1

IdentifierTypeStateIssuer
5700236MedicaidOH

National Provider Directory

National Provider Directory

Locations

1651 Needmore Rd
Dayton, OH 45414
Phone (937) 898-2220

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225199896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 NEEDMORE ROAD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143851",
            "telephone_number": "937-898-2220",
            "fax_number": "937-898-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 NEEDMORE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143801",
            "telephone_number": "937-898-2220",
            "fax_number": "937-898-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES IN COMMUNITY LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-898-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700236",
            "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 Aug 22, 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.