NPIMap

Organization Active NPI

Sycamore Vista

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Batavia, OH
National Provider Identifier
1710121397
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SYCAMORE VISTA
Practice address
800 Old South Riverside Dr
Batavia, OH 45103-8725
Phone
(513) 735-6666
Fax
(513) 735-6777
NPI assigned
Apr 27, 2009
Organization subpart
Yes
Parent organization
EPILEPSY FOUNDATION OF GREATER CINCINNATIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Ms. Kathy Stewart
Title
Executive Director
Phone
(513) 721-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

800 Old South Riverside Dr
Batavia, OH 45103-8725

Mailing address

895 Central Ave
Suite 550
Cincinnati, OH 45202-1961
Phone (513) 721-2905

Other identifiers 1

IdentifierTypeStateIssuer
2221527MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G567

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SYCAMORE VISTA
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 13, 2001
Last certification
Oct 16, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
800 Old South Riverside Drive
Batavia, OH 45103

National Provider Directory

National Provider Directory
Tax ID family
Sycamore Vista5 organizations share this tax ID, including this one
Part of
Sycamore Vista

Other organizations with this tax ID 4

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

Locations

800 Old South Riverside Dr
Batavia, OH 45103
Phone (513) 735-6666

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1710121397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CENTRAL AVE",
            "address_2": "SUITE 550",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021961",
            "telephone_number": "513-721-2905",
            "fax_number": "513-721-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OLD SOUTH RIVERSIDE DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451038725",
            "telephone_number": "513-735-6666",
            "fax_number": "513-735-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE VISTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPILEPSY FOUNDATION OF GREATER CINCINNATI",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-721-2905",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "2221527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.