Organization Active NPI

Bridgett Tillman

  • Home Health Agency
  • Troy, OH
National Provider Identifier
1124363486
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
144294 Issued in OH
Legal business name
BRIDGETT TILLMAN
Practice address
818 Fountain St
Troy, OH 45373-2816
Phone
(937) 451-2972
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Bridgett Faye Tillman, LPN
Title
LPN
Phone
(937) 451-2972

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 144294 OH Primary
Respite Care 385H00000X 144294 OH

Addresses

Primary practice location

818 Fountain St
Troy, OH 45373-2816

Mailing address

818 Fountain St
Troy, OH 45373-2816
Phone (937) 451-2972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1124363486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 FOUNTAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732816",
            "telephone_number": "937-451-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 FOUNTAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732816",
            "telephone_number": "937-451-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETT TILLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "937-451-2972",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "144294",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "144294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.