Individual provider Active NPI

Denis Tshiaba Mulunda

  • Home Health Aide
  • Fairfield, OH
National Provider Identifier
1164125878
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4800 Fairfield Ave
Fairfield, OH 45014-1716
Phone
(513) 485-0109
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X OH Primary

Addresses

Primary practice location

4800 Fairfield Ave
Fairfield, OH 45014-1716

Mailing address

260 Northland Blvd Ste 336
Springdale, OH 45246-4921
Phone (513) 771-0843

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Home Health Care LLC Home Health Aide CurrentSince Mar 26, 2023 Accepting new patients
Eagle Grace Health Care LLC. Home Health Aide Current Accepting new patients

Locations

260 Northland Blvd
Ste 336
Springdale, OH 45246
Phone (513) 771-0843

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1164125878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 336",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452464921",
            "telephone_number": "513-771-0843",
            "fax_number": "513-771-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FAIRFIELD AVE",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450141716",
            "telephone_number": "513-485-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUNDA",
        "first_name": "DENIS",
        "middle_name": "TSHIABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.