Organization Active NPI

First Mental Retardation Corp.

  • In Home Supportive Care Agency
  • Dayton, OH
National Provider Identifier
1194313205
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FIRST MENTAL RETARDATION CORP.
Practice address
2080 N Gettysburg Ave
Dayton, OH 45406-3562
Phone
(937) 262-3077
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Sarita Simmons
Title
Ceo
Phone
(937) 262-3077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2080 N Gettysburg Ave
Dayton, OH 45406-3562

Mailing address

2080 N Gettysburg Ave
Dayton, OH 45406-3562
Phone (937) 262-3077

National Provider Directory

National Provider Directory

Locations

2080 N Gettysburg Ave
Dayton, OH 45406
Phone (937) 262-3077

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1194313205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 N GETTYSBURG AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454063562",
            "telephone_number": "937-262-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N GETTYSBURG AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454063562",
            "telephone_number": "937-262-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MENTAL RETARDATION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-262-3077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.