Active NPI
Tristate Residential Care
- Home Health Agency
- West Chester, OH
National Provider Identifier
1265176267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRISTATE RESIDENTIAL CARE
- Practice address
- 6094 Holly Hill LN
West Chester, OH 45069-6653 - Phone
- (513) 607-4260
- NPI assigned
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Efemena Ashley Efeurhobo
- Title
- Ceo/Administrator
- Phone
- (513) 607-4260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6094 Holly Hill LN
West Chester, OH 45069-6653
Mailing address
8730 Cincinnati Dayton Rd # 764
West Chester, OH 45069-9100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1265176267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8730 CINCINNATI DAYTON RD # 764",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450699100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6094 HOLLY HILL LN",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696653",
"telephone_number": "513-607-4260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRISTATE RESIDENTIAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "EFEURHOBO",
"authorized_official_first_name": "EFEMENA",
"authorized_official_middle_name": "ASHLEY",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "513-607-4260"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.