Connectivcare LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

CONNECTIVCARE LLC

Practice address

41 White Allen Ave
Dayton, OH 45405-4930

Phone

(937) 623-2377

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Victoria Nalls

Title

Administrator

Phone

(937) 623-2377

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1124836788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WHITE ALLEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054930",
            "telephone_number": "937-623-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WHITE ALLEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054930",
            "telephone_number": "937-623-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIVCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "NALLS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-623-2377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brian Conley II, PA-C
• Samuel Conley
• Sara Maureen Conley, CNP
• Jennifer Marie Conlon, MD
• Irene Conn, MS, RD, LD, CLC
• Katrina Connell, LISW
• Brian Connelly
• Patrick J Connelly, MD
• Amiya Conner
• Gary J Conner, MD

• Pediatric Skilled Nursing Facility in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.