Individual provider Active NPI

Bernice Ofori Attah

  • Home Health Aide
  • Fairfield, OH
National Provider Identifier
1063016624
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0906256 Issued in OH
Practice address
1095 Nilles Rd
Fairfield, OH 45014-3878
Phone
(513) 206-6045
Fax
(513) 829-2373
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 0906256 OH
Home Health Aide 374U00000X 0906256 OH Primary
Home Health Agency 251E00000X 0906256 OH

Addresses

Primary practice location

1095 Nilles Rd
Fairfield, OH 45014-3878

Mailing address

1095 Nilles Rd
Fairfield, OH 45014-3878
Phone (513) 206-6045

Other identifiers 1

IdentifierTypeStateIssuer
0229143MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906256OHMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Quality Care and Transportation Home Health CurrentSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1063016624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143878",
            "telephone_number": "513-206-6045",
            "fax_number": "513-829-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NILLES RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143878",
            "telephone_number": "513-206-6045",
            "fax_number": "513-829-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFORI ATTAH",
        "first_name": "BERNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "0906256",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0906256",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "0906256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229143",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 24, 2020; 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.