Resident Home Association of Greater Dayton, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

RESIDENT HOME ASSOCIATION OF GREATER DAYTON, INC.

Practice address

3661 Salem Ave
Dayton, OH 45406-1661

Phone

(937) 278-0791

Fax

(937) 278-2240

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 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

Peter J Roll

Title

Director

Phone

(937) 278-0791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Resident Home Association of Greater Dayton, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1598367583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061661",
            "telephone_number": "937-278-0791",
            "fax_number": "937-278-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061661",
            "telephone_number": "937-278-0791",
            "fax_number": "937-278-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENT HOME ASSOCIATION OF GREATER DAYTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "ROLL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-278-0791"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015557",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resident Home Association of Greater Dayton, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.