Organization Active NPI

Selective Home Health Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
National Provider Identifier
1114287661
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SELECTIVE HOME HEALTH SUPPLIES
Practice address
2107 Jergens Rd
Dayton, OH 45404-1227
Phone
(937) 260-4250
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rhonda Debord, LPN
Title
Co-Owner
Phone
(937) 260-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2107 Jergens Rd
Dayton, OH 45404-1227

Mailing address

2107 Jergens Rd
Dayton, OH 45404-1227
Phone (937) 260-4250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114287661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 JERGENS RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041227",
            "telephone_number": "937-260-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 JERGENS RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041227",
            "telephone_number": "937-260-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE HOME HEALTH SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "937-260-4250",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.