Organization Active NPI

Tatiana's Home Care, LLC

  • Physical Disabilities Residential Treatment Facility
  • Beavercreek, OH
National Provider Identifier
1215220256
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
TATIANA'S HOME CARE, LLC
Practice address
3220 Beaver Vu Dr Ste 110
Beavercreek, OH 45434-6400
Phone
(937) 241-4417
Fax
(937) 241-4417
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Tatiana Childred, DR.
Title
Owner / Operator
Phone
(937) 241-4417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

3220 Beaver Vu Dr Ste 110
Beavercreek, OH 45434-6400

Mailing address

3220 Beaver Vu Dr Ste 110
Beavercreek, OH 45434-6400
Phone (937) 228-0811

National Provider Directory

National Provider Directory

Locations

3220 Beaver Vu Dr
Ste 110
Beavercreek, OH 45434
Phone (937) 241-4417

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1215220256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BEAVER VU DR STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346400",
            "telephone_number": "937-228-0811",
            "fax_number": "937-228-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BEAVER VU DR STE 110",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346400",
            "telephone_number": "937-241-4417",
            "fax_number": "937-241-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA'S HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "CHILDRED",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "937-241-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "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 Sep 4, 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.