Independent Community Services

LBN: Independent Community Services
Independent Community Services is an health care organization with primary practice located at 675 Deis Dr # 201 , Fairfield OH 45014-8136. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Independent Community Services can be contacted via phone (513) 817-4888, or through Marshall, Karissa Janay via phone (423) 316-0557.

Contact Information

Primary practice address
675 Deis Dr # 201 Fairfield OH 45014-8136
Phone: (513) 817-4888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Karissa Janay
Phone: (423) 316-0557

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1992302384
LBN Legal business name Independent Community Services
DBA Doing business as
Authorized official Marshall, Karissa Janay
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 2020 - about 4 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 1992302384 NPPES
Ohio MEDICAID 1902322027

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