Organization Active NPI

United Rehabilitation Services of Greater Dayton

  • Adult Day Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1639660665
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
5700469 Issued in OH
Legal business name
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Practice address
4710 Old Troy Pike
Dayton, OH 45424-5740
Phone
(937) 233-1230
Fax
(937) 236-8930
NPI assigned
May 25, 2018
Organization subpart
Yes
Parent organization
UNITED REHABILITATION SERVICES OF GREATER DAYTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Dennis Grant
Title
Executive Director
Phone
(937) 233-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5700469 OH Primary

Addresses

Primary practice location

4710 Old Troy Pike
Dayton, OH 45424-5740

Mailing address

4710 Old Troy Pike
Dayton, OH 45424-5740
Phone (937) 233-1230

Other identifiers 1

IdentifierTypeStateIssuer
2561508MedicaidOH

Other names 1

  • United Rehabiliation Serv - Adult Daycare Other name

National Provider Directory

National Provider Directory
Tax ID family
United Rehabilitation S4 organizations share this tax ID, including this one
Part of
United Rehabilitation S

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1639660665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 OLD TROY PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245740",
            "telephone_number": "937-233-1230",
            "fax_number": "937-236-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 OLD TROY PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245740",
            "telephone_number": "937-233-1230",
            "fax_number": "937-236-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHABILITATION SERVICES OF GREATER DAYTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED REHABILITATION SERVICES OF GREATER DAYTON",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-233-1230"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": "5700469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Rehabiliation Serv - Adult Daycare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "United Rehabiliation Serv - Adult Daycare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 25, 2018; 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.