Individual provider Active NPI

Lois Darlene Sorah

  • Child Physical Disabilities Respite Care
  • Dayton, OH
National Provider Identifier
1124621214
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Practice address
2202 W Stroop Rd
Dayton, OH 45439-2519
Phone
(937) 838-2647
NPI assigned
Nov 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X Primary

Addresses

Primary practice location

2202 W Stroop Rd
Dayton, OH 45439-2519

Mailing address

2202 W Stroop Rd
Dayton, OH 45439-2519
Phone (937) 838-2647

Other identifiers 1

IdentifierTypeStateIssuer
105653157599MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kc8uvk@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1124621214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 W STROOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454392519",
            "telephone_number": "937-838-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 W STROOP RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454392519",
            "telephone_number": "937-838-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORAH",
        "first_name": "LOIS",
        "middle_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105653157599",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kc8uvk@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "address_1": "2202 W Stroop Rd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454392519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 19, 2020; 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.