Community Impact, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

COMMUNITY IMPACT, INC.

Practice address

700 W Pete Rose Way
Suite 350
Cincinnati, OH 45203-1892

Phone

(513) 319-3325

NPI assigned

May 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Myles, B.S.

Title

Executive Director

Phone

(513) 319-3325

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Universal Health and Social Services Network Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Community Impact, Inc.

  • Voluntary or Charitable Agency
  • Cincinnati, OH
  • NPI 1558253443
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Douglas King, MD, JD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1427079250
  NPD (past)

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

{
    "created_epoch": "1117324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1740283282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W PETE ROSE WAY",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031875",
            "telephone_number": "513-319-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PETE ROSE WAY",
            "address_2": "SUITE 350",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031892",
            "telephone_number": "513-319-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY IMPACT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-29",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-319-3325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672145",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09783781",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Health and Social Services Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community First Health Services, Inc.
• Community First Health Ventures
• Community Healing Hands
• Community Health, Family Counseling, Education Center
• Community Impact, Inc.
• Community Maintenance Services
• Community Orthodontic Care
• Community Supports, Inc
• Community Surgical Supply of Toms River, Inc.
• Community Urgent Care Plus

• Voluntary or Charitable Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Voluntary or Charitable Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.