NPIMap

Organization Active NPI

Target Health Care LLC

  • Home Health Agency
  • Springdale, OH
National Provider Identifier
1265783278
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
201226801156 Issued in OH
Legal business name
TARGET HEALTH CARE LLC
Practice address
11497 Springfield Pike Ste 7
Springdale, OH 45246-3551
Phone
(513) 426-8492
Fax
(513) 426-8641
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mrs. Sylvie Mukanse WambaNPI 1790230316
Title
Administrative Director
Phone
(513) 609-8524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 201226801156 OH Primary

Addresses

Primary practice location

11497 Springfield Pike Ste 7
Springdale, OH 45246-3551

Mailing address

11497 Springfield Pike Ste 7
Springdale, OH 45246-3551
Phone (513) 609-8524

Other identifiers 1

IdentifierTypeStateIssuer
0085915MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Target Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Compton Rd
Unit 23
Cincinnati, OH 45231
Phone (513) 306-4001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1265783278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE STE 7",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-609-8524",
            "fax_number": "513-426-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 SPRINGFIELD PIKE STE 7",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463551",
            "telephone_number": "513-426-8492",
            "fax_number": "513-426-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2021-02-04",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "WAMBA",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_middle_name": "MUKANSE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "513-609-8524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "201226801156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.