NPIMap

Organization Active NPI

Caresource Management Group

  • Point of Service
  • Dayton, OH
National Provider Identifier
1477098986
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
CARESOURCE MANAGEMENT GROUP
Practice address
230 N Main St
Dayton, OH 45402-1263
Phone
(937) 224-3300
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Pamela Morris
Title
Ceo
Phone
(937) 531-2201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X
Health Maintenance Organization 302R00000X
Point of Service 305S00000X Primary

Addresses

Primary practice location

230 N Main St
Dayton, OH 45402-1263

Mailing address

230 N Main St
Dayton, OH 45402-1263

Other names 1

  • CareSource Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caresource2 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": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1477098986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021263",
            "telephone_number": "937-224-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-531-2201"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareSource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2016; 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.