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NPI Code Detail

MEDICARE: BOYS TO MEN TRANSITIONAL HOME INC.

MEDICARE: BOYS TO MEN TRANSITIONAL HOME INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2261QM0850XAdult Mental Health Clinic/Center
3251B00000XCase Management Agency
4261QD1600XDevelopmental Disabilities Clinic/Center
5320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
6261QH0100XHealth Service Clinic/Center
7261QM0855XAdolescent and Children Mental Health Clinic/Center
8251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326651084
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOYS TO MEN TRANSITIONAL HOME INC.
Provider Business Mailing Address
First Line : 117 ASHWOOD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-2643
Country : US
Telephone Number : 937-673-8951
Fax Number : 937-221-8003
Provider Business Practice Location Address
First Line : 117 ASHWOOD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-2643
Country : US
Telephone Number : 937-673-8951
Fax Number : 937-221-8003
Authorized Official
Title or Position : CEO
Name : MRS. MICHELLE GRUBBS PIPPINS
Credential :
Telephone Number : 937-673-8951
Provider Enumeration Date : 08/24/2020
Last Update Date : 03/17/2026

Similar Medicare Providers

1275019531 — MICHELLE GRUBBS PIPPINS
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-673-8951
Practice Fax: 937-673-8951
1093349755 — MS. GWENDOLYN GIST MS/LSW
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-221-8003
Practice Fax:
1063041309 — MS. TYESA NELLOMS
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-231-8003
Practice Fax:
1861096125 — KARLISA SHENAE TRAMMELL CMS QMHS
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-856-4130
Practice Fax:
1801491584 — WILLIAM PIPPINS CMS QMHS
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-231-7758
Practice Fax:
1184229213 — BRITTNEY JOHNSON
Practice Location Address:
117 ASHWOOD AVE
DAYTON, OH
45405-2643
Practice Phone: 937-231-7758
Practice Fax:

Directions to “BOYS TO MEN TRANSITIONAL HOME INC. ” Practice Location

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