Organization Active NPI

Northwest Adult Services LLC

  • Respite Care
  • Fairfield, OH
National Provider Identifier
1053863613
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
3925642 Issued in OH
Legal business name
NORTHWEST ADULT SERVICES LLC
Practice address
6435 Dixie Hwy
Fairfield, OH 45014-5421
Phone
(513) 493-2544
Fax
(800) 864-3906
NPI assigned
Oct 31, 2016
Organization subpart
Yes
Parent organization
NORTHWEST ADULT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Todd Coke
Title
Cfo
Phone
(502) 210-0723

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X
Respite Care 385H00000X 3925642 OH Primary

Addresses

Primary practice location

6435 Dixie Hwy
Fairfield, OH 45014-5421

Mailing address

4400 Breckenridge LN Ste 300
Louisville, KY 40218-4129

Other identifiers 1

IdentifierTypeStateIssuer
0179002MedicaidOH

Other names 1

  • Northwest Adult Services Other name

National Provider Directory

National Provider Directory
Part of
Northwest Adult Services LLC

Locations

10870 Hamilton Ave
Cincinnati, OH 45231

6435 Dixie Hwy
Fairfield, OH 45014
Phone (513) 493-2544

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1053863613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 DIXIE HWY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145421",
            "telephone_number": "513-493-2544",
            "fax_number": "800-864-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ADULT SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ADULT SERVICES",
        "enumeration_date": "2016-10-31",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "COKE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-210-0723"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "3925642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Adult Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northwest Adult Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.