TRULY PEDIATRIC HOME CARE LLC (NPI# 1396358941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396358941 |
| Entity Type | Organization |
| Organization Name | TRULY PEDIATRIC HOME CARE LLC |
| Practice Address |
3639 Greenbay Dr Dayton OH 45415-2018 |
| Practice Telephone | 9373973600 |
| Practice Fax Number | 9377427262 |
| Mailing Telephone | 9373973600 |
| Mailing Fax Number | 9377427262 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | MARCHELLE LYNN HOPSON (OWNER) |
| Authorized Official Telephone | 9373973600 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3639 GREENBAY DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45415-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| 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.