Active NPI
Fidelity Health Care Inc
- Prosthetic/Orthotic Supplier
- Centerville, OH
National Provider Identifier
1104250430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0908236 | Medicaid | OH |
Other names 1
- Expressions of Hope
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Dayton, OH
- NPI 1255451076
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.