Addison Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADDISON HOME HEALTH SERVICES LLC

Practice address

1819 Troy St Ste 3
Dayton, OH 45404

Phone

(888) 570-1152

Fax

(937) 771-1661

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Islom Shakhbandarov

Title

Ceo

Phone

(888) 570-1152

Specialties & licenses 3

Addresses

Other names 1

• INA Home Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gulsara Iskandarova

  • Personal Care Attendant
  • Dayton, OH
  • NPI 1437030533
  NPD

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1134587108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 TROY ST STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042400",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 TROY ST STE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45404",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 5th St",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454022962",
            "country_code": "US",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 5th St",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454022962",
            "country_code": "US",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADDISON HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "SHAKHBANDAROV",
        "authorized_official_first_name": "ISLOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-570-1152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INA Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INA Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Anne Adams, CDCA
• Michael Leonard Adams
• Patricia A Adams
• Shian Tyler Adams, LPN
• Tippannie Ann Adams, LPN
• Addison Home Health Services LLC
• Lonzy Addison
• Matthew Addison
• Robin Addison, LPN
• Ruth Ann Addison, LPCC

• Home Health Agency in Dayton, OH
• Providers in Dayton, 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 Oct 11, 2019; 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.