NPIMap

Organization Active NPI

Rocking Horse Childrens Health Center

Doing business as Rocking Horse Center

  • Federally Qualified Health Center (FQHC)
  • London, OH
National Provider Identifier
1770964850
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ROCKING HORSE CHILDRENS HEALTH CENTER
Doing business as
Rocking Horse Center
Rocking Horse Center Madison FQHC
Rocking Horse Community Health Center1 more in Other names
Practice address
212 N Main St
London, OH 43140-1115
Phone
(740) 845-7286
Fax
(740) 845-7499
NPI assigned
Jun 15, 2015
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Shonda Wallace
Title
Chief Financial Officer
Phone
(937) 324-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

212 N Main St
London, OH 43140-1115

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other identifiers 1

IdentifierTypeStateIssuer
0146643MedicaidOH

Other names 4

  • Rocking Horse Center Doing business as
  • Rocking Horse Center Madison FQHC Doing business as
  • Rocking Horse Community Health Center Doing business as
  • Rocking Horse Community Health Center Madison FQHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825002743 OH Part A Provider - Federally Qualified Health Center (FQHC) 4789653890 Practice locations: London, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770964850. Details of each certification follow.

Federally qualified health center certification: CCN 361079

Legal name
ROCKING HORSE CHILDRENS HEALTH CENTER
Doing business as
ROCKING HORSE COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 18, 2015
Last certification
Aug 18, 2015
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Incorporated
Mar 19, 1998 in OH
Enrollment address
212 N Main St
London, OH 43140-1115

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rhchc - Pharmacy23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

212 N Main St
London, OH 43140
Phone (740) 845-7286

651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yamini Venkata Teegala Individual Corporate OfficerCmo Oct 1, 2013
W-2 Managing Employee Sep 1, 2007
Nora Chasnov Individual W-2 Managing EmployeeAd; Jan 26, 2026
Candace Copeland Individual Corporate OfficerVice President Aug 1, 2016
James Doyle Individual Corporate OfficerTreasurer Aug 1, 2016
Victoria Richards Individual Corporate OfficerSecretary Jan 1, 2018
Rocking Horse Childrens Health Center Organization, Springfield, OH Corporation, Non-profit Operational/Managerial Control Aug 1, 2015 100%
John Wesley Babian Individual Corporate OfficerPresident May 1, 2016
Angela Whitt Individual W-2 Managing EmployeeAd; Mar 9, 2026
Shonda Wallace Individual Corporate OfficerCfo Feb 22, 2002
W-2 Managing Employee Feb 22, 2002
Stacy M Lee Individual Corporate OfficerCoo Mar 1, 2023
Corporate DirectorDoo Jul 6, 2009
W-2 Managing Employee Mar 26, 2001

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rocking Horse Community Health CenterSpringfield, OH, CCN 361947 Federally qualified health center Operational/Managerial Control (100%) Mar 17, 2009
Rocking Horse Community Health CenterSpringfield, OH, CCN 361117 Federally qualified health center Operational/Managerial Control (100%) Mar 17, 2009
Rocking Horse Community Health CenterSpringfield, OH, CCN 361113 Federally qualified health center Operational/Managerial Control (100%) Sep 27, 2016
Rocking Horse Community Health CenterSpringfield, OH, CCN D21047 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1770964850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7286",
            "fax_number": "740-845-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKING HORSE CHILDRENS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "937-324-1111"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocking Horse Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Center Madison FQHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocking Horse Community Health Center Madison FQHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.