OrganizationActive
South Community
NPI 1003211061 · Community/Behavioral Health Agency · Kettering, OH
Provider details
- NPI number
- 1003211061
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Melissa Buck, Yph Program Manager(937) 258-4246
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2745 S Smithville Rd
Kettering, OH 45420-2668
Phone: (937) 258-4246
Street-level locationGet directions
Mailing address
8130 Towson Blvd
Miamisburg, OH 45342-6120
Registry dates
- Enumerated
- 2014-11-01
- Last updated
- 2014-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.