Single Parents Rock

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

SINGLE PARENTS ROCK

Practice address

130 W Wenger Rd Ste D
Englewood, OH 45322-2760

Phone

(937) 998-8044

Fax

(937) 771-0159

NPI assigned

Aug 11, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Nechelle Henton

Title

Ceo/Executive Director

Phone

(937) 998-8044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1306457528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W WENGER RD STE D",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222760",
            "telephone_number": "937-469-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WENGER RD STE D",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222760",
            "telephone_number": "937-998-8044",
            "fax_number": "937-771-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454162114",
            "country_code": "US",
            "telephone_number": "937-469-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SINGLE PARENTS ROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "HENTON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "NECHELLE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-998-8044"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Englewood, OH
• Providers in Englewood, OH by specialty
• Prevention Professional in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.