1881225381 NPI number — MENDERS HOME CARE

Table of content: (NPI 1881225381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881225381 NPI number — MENDERS HOME CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MENDERS HOME CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881225381
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5778 CROSEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLSBORO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-393-1205
Provider Business Mailing Address Fax Number:
937-393-1910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5778 CROSEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSBORO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-768-3149
Provider Business Practice Location Address Fax Number:
937-402-4107
Provider Enumeration Date:
02/03/2020

Additional Information

Authorized Official

Authorized Official Last Name:
SHAFFER
Authorized Official First Name:
ALICIA
Authorized Official Middle Name:
JOLENE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
937-768-3149

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NONE . This is a "NONE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com