Ohio Medicaid Provider

  • 1659555407 NPI Number
  • |
  • Actived: 16 years ago
  • |
Ohio Medicaid Provider is a health care provider based in Dayton, OH. The NPI Number is 1659555407 and it has been active since 16 years ago. The specialty is Adult Care Home, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Adult Care Home services, Ohio Medicaid Provider is an excellent option. We are here to help you get the care you need.

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Overview of Ohio Medicaid Provider

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/27/2007
  • Last updated: 12/27/2007

Primary Scrop of Practice

  • Taxonomy Code: 311ZA0620X
  • Specialty: Adult Care Home
  • License Number: PN0830007
  • License State: OH

Provider Mailing Address

  • Address: 322 Albers Ave
    Dayton, OH 45427
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 322 Albers Ave
    Dayton, OH 45427
  • Phone: 937-479-1676
  • Fax:

Authorized Official

  • Name: Saundra Lee Ballard LPN
  • Position/Title: Lpn
  • Telephone Number: 937-479-1676

Scope of Practice

  • Taxonomy Code: 311ZA0620X
  • Specialty: Adult Care Home
  • License Number: PN0830007
  • License State: OH
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2516950
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OH
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ohio Medicaid Provider?
  • A: The npi number for Ohio Medicaid Provider is 1659555407.
  • Q: What are Ohio Medicaid Provider's specialties?
  • A: Ohio Medicaid Provider's specialties are Adult Care Home and different specialities.
  • Q: Where is Ohio Medicaid Provider business practice location?
  • A: Ohio Medicaid Provider business practice location is 322 Albers Ave, Dayton, OH 45427.
  • Q: How to contact Ohio Medicaid Provider?
  • A: You can contact Ohio Medicaid Provider via 937-479-1676.
  • Q: What is the authorized official for Ohio Medicaid Provider?
  • A: The authorized office name is Saundra Lee Ballard LPN with position/title is Lpn and you can reach the authorized official via phone number 9374791676.
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Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.