Organization Active NPI

Tristate Residential Care

  • Home Health Agency
  • West Chester, OH
National Provider Identifier
1265176267
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 25, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.