Organization Active NPI

Wings of Love Services

  • Adult Day Care Clinic/Center
  • Beavercreek, OH
National Provider Identifier
1154712750
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
WINGS OF LOVE SERVICES
Practice address
1654 Mardon Dr
Beavercreek, OH 45432-1949
Phone
(937) 789-8192
Fax
(937) 660-9504
NPI assigned
Feb 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Janon White-Adams
Title
Home Health
Phone
(937) 789-8192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1654 Mardon Dr
Beavercreek, OH 45432-1949

Mailing address

4130 Linden Ave Ste 180
Dayton, OH 45432-3058
Phone (937) 789-8192

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2239068Wings of Love Services1654 Mardon Drive, Beavercreek, OH 45432Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

1654 Mardon Dr
Beavercreek, OH 45432
Phone (937) 203-4041

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1154712750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 180",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323058",
            "telephone_number": "937-789-8192",
            "fax_number": "937-660-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 MARDON DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321949",
            "telephone_number": "937-789-8192",
            "fax_number": "937-660-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF LOVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "WHITE-ADAMS",
        "authorized_official_first_name": "JANON",
        "authorized_official_title_or_position": "HOME HEALTH",
        "authorized_official_telephone_number": "937-789-8192"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.

Verify at the official NPI Registry.