Organization Active NPI

Seeds 4 Life Inc

  • Case Management Agency
  • Dayton, OH
National Provider Identifier
1609406297
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SEEDS 4 LIFE INC
Doing business as
Seeds 4 Life Inc
Practice address
4812 Frederick Pike
Dayton, OH 45414-3835
Phone
(937) 949-7095
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Mrs. Donna Clark, CMS,QMHS
Title
Exec. Director
Phone
(937) 949-7095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4812 Frederick Pike
Dayton, OH 45414-3835

Mailing address

PO Box 7
Englewood, OH 45322-0007
Phone (937) 949-7095

Other names 1

  • Seeds 4 Life Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1609406297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453220007",
            "telephone_number": "937-949-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 FREDERICK PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143835",
            "telephone_number": "937-949-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS 4 LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "937-949-7095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMS,QMHS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeds 4 Life Inc",
            "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 Jan 22, 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.