Organization Active NPI

The Healthcare Connection, Inc

  • Federally Qualified Health Center (FQHC)
  • Amelia, OH
National Provider Identifier
1457710154
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
CL020670650-03 Issued in OH
Legal business name
THE HEALTHCARE CONNECTION, INC
Practice address
43 E Main St
Amelia, OH 45102-1993
Phone
(513) 947-7005
Fax
(513) 947-7062
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dolores J Lindsay
Title
Ceo
Phone
(513) 483-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CL020670650-03 OH Primary

Addresses

Primary practice location

43 E Main St
Amelia, OH 45102-1993

Mailing address

43 E Main St
Amelia, OH 45102-1993
Phone (513) 947-7005

Other identifiers 1

IdentifierTypeStateIssuer
0166754MedicaidOH

Other names 1

  • Greater Cincinnati Behavioral Health Services: Amelia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150225001988 OH Part B Supplier - Clinic/Group Practice 8628988318 Receives reassigned benefits from 38 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; Amelia, OH
O20160405000559 OH Part A Provider - Federally Qualified Health Center (FQHC) 8628988318 Practice locations: Amelia, OH

Federally qualified health center certification: CCN 361104

Legal name
THE HEALTHCARE CONNECTION, INC.
Doing business as
GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES: AMELIA
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 22, 2016
Last certification
Mar 22, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 1967 in OH
Enrollment address
43 E Main St
Amelia, OH 45102-1993

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Healthcare Connection Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Sloane Individual Corporate Director Jun 1, 2023
Malick Ba Individual Corporate Director Jun 1, 2021
Amanda Changet Individual Corporate Director Feb 1, 2024
Denise Pitts Individual Corporate Director Nov 1, 2021
Denise Hayes Individual Corporate DirectorBoard Member Mar 1, 2016
Jolene K Joseph Individual Corporate OfficerCfo Aug 24, 2020
W-2 Managing EmployeeCfo Aug 24, 2020
James Cowan Individual Corporate DirectorBoard Member Mar 1, 2016
Barbara Winter Individual Corporate Director Jan 1, 2013
Linda Childs Jeter Individual Corporate DirectorBoard President-Elect Mar 1, 2016
Elisa de Leon Farias Individual Corporate Director May 1, 2024
Nanette Bentley Individual Corporate Director Jun 1, 2023
Tamarah Wynn Individual Corporate Director Aug 1, 2024
Adam Curry Individual Corporate Director Jun 1, 2023
Kevin O'Connell Individual Corporate Director Aug 1, 2020
Sha Ronda Mills Wilson Individual Corporate Director Jun 1, 2023
Iris Montgomery Individual Corporate Director Jun 1, 2023
Jagdeep Sangha Individual Corporate Director Sep 1, 2022
Mayme Laverne Mitchell Individual Corporate DirectorBoard Secretary Mar 1, 2016

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Princeton City School District School Based Health CenterCincinnati, OH, CCN 361149 Federally qualified health center Operational/Managerial Control Nov 3, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 10

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1457710154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-947-7005",
            "fax_number": "513-947-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E MAIN ST",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021993",
            "telephone_number": "513-947-7005",
            "fax_number": "513-947-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHCARE CONNECTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-483-3080"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": "CL020670650-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Cincinnati Behavioral Health Services: Amelia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amelia, OH

Sources for this page

Verify at the official NPI Registry.