Organization Active NPI

Queens Rehoboth

  • Home Health Agency
  • Fairfield, OH
National Provider Identifier
1194502187
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUEENS REHOBOTH
Practice address
3903 Mack Rd Apt 75
Fairfield, OH 45014-6669
Phone
(513) 668-5907
NPI assigned
Sep 12, 2023
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Esther Takyiwaa Aryetey
Title
Doo
Phone
(513) 668-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3903 Mack Rd Apt 75
Fairfield, OH 45014-6669

Mailing address

3903 Mack Rd Apt 75
Fairfield, OH 45014-6669
Phone (513) 668-5907

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1194502187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 MACK RD APT 75",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146669",
            "telephone_number": "513-668-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 MACK RD APT 75",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450146669",
            "telephone_number": "513-668-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS REHOBOTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ARYETEY",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "TAKYIWAA",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "513-668-5907"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 18, 2024; 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.