Academy Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ACADEMY HEALTH SERVICES, INC.

Practice address

3320 Office Park Dr
Dayton, OH 45439-2212

Phone

(937) 293-6631

Fax

(937) 293-8104

NPI assigned

Apr 3, 2006

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Niraj J Patel

Title

Administrator

Phone

(937) 293-6631

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053373324. Details of each certification follow.

• CCN 367162 Home health agency · Active · Name & address match · Details

Home health agency certification: CCN 367162

Legal name

ACADEMY HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 12, 1982

Last certification

Jul 6, 2020

Ownership / control type

Proprietary

Facility address

3320 Office Park Drive
Dayton, OH 45439

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1053373324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454192454",
            "telephone_number": "937-293-6631",
            "fax_number": "937-293-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OFFICE PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454392212",
            "telephone_number": "937-293-6631",
            "fax_number": "937-293-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAJ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-293-6631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.