Goodwill Industries Of Dayton, Inc.

LBN: Goodwill Easter Seals Of Miami Valley
Goodwill Industries Of Dayton, Inc. is an health care organization with primary practice located at 660 S Main St , Dayton OH 45402. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Eye and Vision Services Providers / Optician, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Suppliers / Eyewear Supplier (Equipment, not the service). Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Goodwill Easter Seals Of Miami Valley can be contacted via phone (937) 461-4800, or through Dugdale, Leo via phone (937) 461-4800.

Contact Information

Primary practice address
660 S Main St Dayton OH 45402
Phone: (937) 461-4800
Fax: (937) 461-9578
Website:
Map and Directions
Authorized official contact:
Name: Dugdale, Leo
Phone: (937) 461-4800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Eye and Vision Services Providers / Optician 156FX1800X S.12248 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X 01-0550 Ohio
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X S.12248 Ohio

Profile Details

NPI number 1154547883
LBN Legal business name Goodwill Easter Seals Of Miami Valley
DBA Doing business as Goodwill Industries Of Dayton, Inc.
Authorized official Dugdale, Leo
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Jun 29th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154547883 NPPES
Ohio MEDICAID 1154547883
Ohio MEDICAID 2284504
Ohio MEDICAID 2913646

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