Provider Demographics
NPI:1508895046
Name:GREENE COUNTY
Entity Type:Organization
Organization Name:GREENE COUNTY
Other - Org Name:TODAY CENTER FOR ADULTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERCIVAL
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:937-562-7590
Mailing Address - Street 1:711 DAYTON XENIA RD
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-2607
Mailing Address - Country:US
Mailing Address - Phone:937-562-7590
Mailing Address - Fax:937-562-7593
Practice Address - Street 1:711 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-2607
Practice Address - Country:US
Practice Address - Phone:937-562-7590
Practice Address - Fax:937-562-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0832022Medicare UPIN