Active NPI
Black Belt Home Care LLC
- Home Health Agency
- Mason, OH
National Provider Identifier
1134728199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BLACK BELT HOME CARE LLC
- Practice address
- 969 Reading Rd Ste N
Mason, OH 45040-2654 - Phone
- (513) 312-9284
- NPI assigned
- Oct 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vadim Gilman
- Title
- President
- Phone
- (513) 312-9284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
969 Reading Rd Ste N
Mason, OH 45040-2654
Mailing address
638 Linden Ave
Newport, KY 41071-2034
Phone (513) 312-9284
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Black Belt Home Care LLC
- Ownership
- Proprietary
- Certified
- Mar 26, 2021
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1134728199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 LINDEN AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712034",
"telephone_number": "513-312-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 READING RD STE N",
"city": "MASON",
"state": "OH",
"postal_code": "450402654",
"telephone_number": "513-312-9284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK BELT HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "GILMAN",
"authorized_official_first_name": "VADIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-312-9284"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.