INNOVATIVE SENIOR CARE HOME HEALTH OF OHIO LLC (NPI# 1437318821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437318821 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR CARE HOME HEALTH OF OHIO LLC |
| Other Organization Name | BROOKDALE HOME HEALTH DAYTON |
| Practice Address |
2621 Dryden Rd Suite 107 Moraine OH 45439-1661 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 9373209074 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Home Health Dayton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914881 | Innovative Senior Care Home Health of Ohio LLC | Home Health | 5955 Wilcox Pl, Ste B, Dublin, OH 43016-8726 | 2008-06-02 |
| Street Address |
2621 DRYDEN RD SUITE 107 |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237897 | Dipika Chand | Dietitian, Registered | 2621 Dryden Rd, Moraine, OH 45439-1661 | 2020-02-19 |
| 1346606308 | David Riley | Counselor | 2621 Dryden Rd, Suite 310, Moraine, OH 45439-1661 | 2016-01-06 |
| 1275915134 | Robert Skipper | Counselor | 2621 Dryden Rd, Suite 310, Moraine, OH 45439-1661 | 2015-06-26 |
| 1659612125 | Ohio Custom Orthotics LLC | Durable Medical Equipment & Medical Supplies | 2621 Dryden Rd, Ste 106, Moraine, OH 45439-1661 | 2013-03-08 |
| 1396097986 | Arc Therapy Services LLC | Hospice Care, Community Based | 2621 Dryden Rd, Suite 204, Moraine, OH 45439-1661 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| 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 |
|---|---|---|---|---|
| 1609412014 | Guardian Angel Home Care of Moraine | Home Health | 3055 Kettering Blvd Ste 307, Moraine, OH 45439-1987 | 2019-11-20 |
| 1841624509 | Angel Hearts Home Health Care, Inc | Home Health | 2213 Arbor Blvd, Moraine, OH 45439-1521 | 2013-08-29 |
| 1427207026 | Guardian Angel Home Care Inc. | Home Health | 3055 Kettering Blvd., Suite 307, Moraine, OH 45439-1949 | 2008-09-18 |
| 1760667505 | Blackstone Healthcare, Inc. | Home Health | 3040 Kettering Blvd, Moraine, OH 45439-1922 | 2007-12-28 |
| 1225226715 | High Quality Staffing, LLC | Home Health | 3430 S Dixie Dr, Suite 306, Moraine, OH 45439-2386 | 2007-10-09 |
| 1235127838 | Fidelity Health Care Inc | Home Health | 3170 Kettering Blvd, Moraine, OH 45439-1924 | 2005-10-10 |
| 1790771624 | S & B Healthcare, Inc | Home Health | 3044 Kettering Blvd, Moraine, OH 45439-1922 | 2005-09-26 |
| 1720494065 | First Choice Home Health Care LLC | Home Health | 2213 Arbor Blvd, Moraine, OH 45439-1521 | 2014-07-08 |
| 1356644959 | Home Health Care By Black Stone of Dayton, LLC | Home Health | 3044 Kettering Blvd, Moraine, OH 45439-1922 | 2010-12-21 |
| 1023311222 | Assisted Care By Black Stone of Dayton, LLC | Home Health | 3040 Kettering Blvd, Moraine, OH 45439-1922 | 2010-12-09 |
| Find all providers in MORAINE | ||||
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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.