Organization Active NPI

Reserve Adult Living & Day Services, LLC

  • Home Health Agency
  • Sidney, OH
National Provider Identifier
1245092089
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RESERVE ADULT LIVING & DAY SERVICES, LLC
Practice address
110 E Poplar St Ste 202
Sidney, OH 45365-2987
Phone
(937) 948-8229
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Mohamed Roble
Title
Admin
Phone
(614) 468-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

110 E Poplar St Ste 202
Sidney, OH 45365-2987

Mailing address

PO Box 3522
Dayton, OH 45401-3522

Other names 1

  • Reserve Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

110 E Poplar St
Ste 202
Sidney, OH 45365
Phone (937) 948-8229

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1245092089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3522",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454013522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E POPLAR ST STE 202",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652987",
            "telephone_number": "937-948-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESERVE ADULT LIVING & DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "ROBLE",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "614-468-3661"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reserve Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reserve Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.