Custom Staffing Bellefontaine Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CUSTOM STAFFING BELLEFONTAINE INC

Practice address

165 Reynolds Ave
Suite 1
Bellefontaine, OH 43311

Phone

(937) 592-5006

Fax

(937) 592-0322

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. D Roche Simmons

Title

Vice President

Phone

(419) 221-3838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1124211339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 REYNOLDS AVE",
            "address_2": "SUITE 1",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-5006",
            "fax_number": "937-592-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 REYNOLDS AVE",
            "address_2": "SUITE 1",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-5006",
            "fax_number": "937-592-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM STAFFING BELLEFONTAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "ROCHE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Crisp
• Robert Crook, MA LSW
• Jessica Quantz Cullivan, MD
• Mary Katherine Culp
• Wayne Cummings, DO
• Abdul A Dada, MD
• Destiny Nichole Daniels
• Thomas E. Darrah, D.O.
• Chasity Ann Defibaugh
• Austin Deneff

• Home Health Agency in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.