Organization Active NPI

Fidelity Health Care Inc

  • Prosthetic/Orthotic Supplier
  • Centerville, OH
National Provider Identifier
1104250430
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
FIDELITY HEALTH CARE INC
Practice address
2300 Miami Valley Dr
Suite 360
Centerville, OH 45459-4779
Phone
(937) 438-7355
NPI assigned
Aug 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Paula Thompson
Title
President & Ceo
Phone
(937) 208-6461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2300 Miami Valley Dr
Suite 360
Centerville, OH 45459-4779

Mailing address

3170 Kettering Blvd
Moraine, OH 45439-1924
Phone (937) 208-6400

Other identifiers 1

IdentifierTypeStateIssuer
0908236MedicaidOH

Other names 1

  • Expressions of Hope Doing business as

National Provider Directory

National Provider Directory

Locations

2300 Miami Valley Dr
Ste 360
Centerville, OH 45459
Phone (937) 438-7355

2300 Miami Valley Dr
Ste 1063
Centerville, OH 45459
Phone (937) 438-7355

9000 N Main St
Ste 239
Englewood, OH 45415
Phone (937) 898-1566

3832 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1104250430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-208-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR",
            "address_2": "SUITE 360",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594779",
            "telephone_number": "937-438-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-208-6461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908236",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expressions of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.