Organization Active NPI

Cedar Home Care LLC

  • Home Health Agency
  • Kettering, OH
National Provider Identifier
1184515884
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CEDAR HOME CARE LLC
Practice address
2555 S Dixie Dr Ste 284
Kettering, OH 45409-1543
Phone
(614) 300-0394
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mokhtar Issa
Title
Owner
Phone
(614) 300-0394

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2555 S Dixie Dr Ste 284
Kettering, OH 45409-1543

Mailing address

2555 S Dixie Dr Ste 284
Kettering, OH 45409-1543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1184515884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 284",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 284",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091543",
            "telephone_number": "614-300-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MOKHTAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-300-0394"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.