Distinguished Home Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DISTINGUISHED HOME SERVICES LLC

Practice address

1500 Brice Rd
Suite 103
Reynoldsburg, OH 43068-2341

Phone

(614) 743-1734

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Courtnee Scott Hawkins

Title

President

Phone

(614) 743-1734

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1225046683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 E MAIN ST",
            "address_2": "SUITE 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133356",
            "telephone_number": "614-743-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BRICE RD",
            "address_2": "SUITE 103",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682341",
            "telephone_number": "614-743-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINGUISHED HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "COURTNEE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-743-1734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "25800070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.