NPI
Clark County
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-08-05
- Last updated
- 2007-08-05
Specialties
- 251C00000XDay Training, Developmentally Disabled Services
- 251S00000XCommunity/Behavioral Health
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- 251B00000XCase Management
Licenses
- License OH
- 2566361
- License OH
- 2566361
- License OH
- 0345184
- License OH
- 0531679
- License OH
- 0559613
- License OH
- 0888848
- License OH
- 0850155
- License OH
- 2082642
- License OH
- 2568163
Location
- Practice location
- 2527 Kenton St
- City
- Springfield OH
- Postal code
- 45505-3352
- Phone
- (937) 328-2675
Organization contact
- Name
- RAVI SHANKAR
- Title
- COMPTROLLER
- Phone
- 9373282675
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Springfield, OH. 2,824 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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