NPIMap

Organization Active NPI

Community Concepts, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Mason, OH
National Provider Identifier
1720145501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
8310287 Issued in OH
Legal business name
COMMUNITY CONCEPTS, INC.
Practice address
6699 Tri Way Dr
Mason, OH 45040-2604
Phone
(513) 398-0535
NPI assigned
Jan 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Betty Davis
Title
Administrator
Phone
(513) 398-8885

National Provider Directory

National Provider Directory
Tax ID family
Community Concepts Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 8310287 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

6699 Tri Way Dr
Mason, OH 45040-2604

Mailing address

6699 Tri Way Dr
Mason, OH 45040-2604
Phone (513) 398-0535

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0119428MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720145501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 TRI WAY DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402604",
            "telephone_number": "513-398-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 TRI WAY DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402604",
            "telephone_number": "513-398-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-398-8885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "8310287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

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