Individual provider Active NPI

Timothy Wayne Osborne

  • Personal Care Attendant
  • Mount Orab, OH
National Provider Identifier
1154258994
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2917 Harker Waits Rd
Mount Orab, OH 45154-9559
Phone
(513) 265-4682
NPI assigned
May 6, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X OH Primary

Addresses

Primary practice location

2917 Harker Waits Rd
Mount Orab, OH 45154-9559

Mailing address

2917 Harker Waits Rd
Mount Orab, OH 45154-9559

Other practice location 1

14846 Chad Ln
Williamsburg, OH 45176-9472
Phone (513) 265-4682

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": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1154258994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 HARKER WAITS RD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 HARKER WAITS RD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549559",
            "telephone_number": "513-265-4682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14846 Chad Ln",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "OH",
            "postal_code": "451769472",
            "country_code": "US",
            "telephone_number": "513-265-4682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.