Organization Active NPI

Senior Resource Connection

  • In Home Supportive Care Agency
  • Dayton, OH
National Provider Identifier
1376573352
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR RESOURCE CONNECTION
Practice address
222 Salem Ave
Dayton, OH 45406-5805
Phone
(937) 223-8246
Fax
(937) 222-6337
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Cindhy Jane Fitzwater
Title
Director of Finance
Phone
(937) 223-8246

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

222 Salem Ave
Dayton, OH 45406-5805

Mailing address

222 Salem Ave
Dayton, OH 45406-5805
Phone (937) 223-8246

National Provider Directory

National Provider Directory

Locations

222 Salem Ave
Dayton, OH 45406
Phone (937) 223-8246

105 S Wilkinson St
Dayton, OH 45402
Phone (937) 223-8246

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1376573352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065805",
            "telephone_number": "937-223-8246",
            "fax_number": "937-222-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065805",
            "telephone_number": "937-223-8246",
            "fax_number": "937-222-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESOURCE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "FITZWATER",
        "authorized_official_first_name": "CINDHY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "937-223-8246"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.