Brenda Ida Fishback

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

144 W Collins Ave
Hillsboro, OH 45133-1063

Phone

(937) 763-0823

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1124743406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W COLLINS AVE",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331063",
            "telephone_number": "937-763-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W COLLINS AVE",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451331063",
            "telephone_number": "937-763-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451331338",
            "country_code": "US",
            "telephone_number": "937-763-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHBACK",
        "first_name": "BRENDA",
        "middle_name": "IDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falcon Pharmacy Investments LLC
• Janet Suzanne Fernandez
• Diana Fields, M.ED., ED.S.
• Logan Fields, OTR/L
• Jessica I Finzel, B.A., QMHS
• Cynthia S Fisher, L.P.C.C.
• Judith A Fisher, LICDC
• Nicholas James Fite, ATC/LAT
• Samantha Mae Fite, LMT
• Cathi A Fittro

• In Home Supportive Care Agency in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.