ADDISON HOME HEALTH SERVICES LLC (NPI# 1134587108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134587108 |
| Entity Type | Organization |
| Organization Name | ADDISON HOME HEALTH SERVICES LLC |
| Other Organization Name | INA HOME CARE |
| Practice Address |
1819 Troy St Ste 3 Dayton OH 45404 |
| Mailing Address |
1819 Troy St Ste 3 Dayton OH 45404-2400 |
| Practice Telephone | 8885701152 |
| Practice Fax Number | 9377711661 |
| Mailing Telephone | 8885701152 |
| Mailing Fax Number | 9377711661 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MR. ISLOM SHAKHBANDAROV (CEO) |
| Authorized Official Telephone | 8885701152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | OH | Agencies | |
| N | 253Z00000X | In Home Supportive Care | OH | Agencies | |
| Y | 251E00000X | Home Health | OH | Agencies |
| Other Name | Type Code |
|---|---|
| INA Home Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E 5th St, Second Floor, Dayton, OH 454022962 | 8885701152 | 9377711661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467758334 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste C, Dayton, OH 45404-2400 | 2011-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ADDISON HOME HEALTH SERVICES LLC | 3460 S. Dixie Hwy, Moraine, OH 45439 |
| Street Address |
1819 TROY ST STE 3 |
| City | DAYTON |
| State | OH |
| Zip Code | 45404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1235603218 | Jessica Marie Geho | Nurse Practitioner | 1 Childrens Plz, Dayton, OH 45404 | 2019-01-14 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1932708567 | Gladys Roach | Home Health | 2333 Valley Pike, Dayton, OH 45404-2545 | 2020-10-24 |
| 1083212112 | Marsha A Waters-walker | Home Health | 4524 Broadbush Dr, Dayton, OH 45426-1908 | 2020-10-12 |
| 1417563248 | Care From The Heart LLC | Home Health | 3335 Stanley Ave Ste B, Dayton, OH 45404-2005 | 2020-09-17 |
| 1992310429 | Latoya Jones | Home Health | 4531 Sylvan Dr, Dayton, OH 45417-1260 | 2020-09-11 |
| 1871108449 | Dependable Care Traveling Np LLC | Home Health | 33 Dayton Ave, Dayton, OH 45402-6402 | 2020-09-10 |
| 1598379448 | Kelvin Afful | Home Health | 1715 Springfield St, Dayton, OH 45403-1431 | 2020-09-08 |
| 1063026722 | Stevenson Pinnacle Health Services LLC | Home Health | 61 Drake Ave Apt A, Dayton, OH 45405-4120 | 2020-09-01 |
| 1750993812 | Pauleah A Davis | Home Health | 5011 W Hillcrest Ave, Dayton, OH 45406-1222 | 2020-08-20 |
| 1447860986 | Light Reign | Home Health | 5027 Brock Ln, Dayton, OH 45415-3429 | 2020-08-07 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.