Organization Active NPI

Serendipity Community Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
National Provider Identifier
1467096396
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENDIPITY COMMUNITY CARE, LLC
Practice address
411 E 5TH St
Dayton, OH 45402-2957
Phone
(937) 589-2222
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Shondale Atkinson
Title
Ceo
Phone
(937) 603-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

411 E 5TH St
Dayton, OH 45402-2957

Mailing address

411 E 5TH St
Dayton, OH 45402-2957
Phone (937) 589-2222

National Provider Directory

National Provider Directory
Tax ID family
Serendipity Community Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1467096396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E 5TH ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022957",
            "telephone_number": "937-589-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E 5TH ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022957",
            "telephone_number": "937-589-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "SHONDALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-603-6643"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 4, 2019; 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.