Bedrock at Home Ohio LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BEDROCK AT HOME OHIO LLC

Practice address

7056 Corporate Way # 201
Centerville, OH 45459-4274

Phone

(937) 306-2251

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Rebecca Grajeda

Title

Director of Operations

Phone

(937) 306-2251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1386321685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 CORPORATE WAY # 201",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594274",
            "telephone_number": "937-306-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 CORPORATE WAY # 201",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594274",
            "telephone_number": "937-306-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK AT HOME OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GRAJEDA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "937-306-2251"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Bean, MD
• Taylor M Beasley
• Lindsey Beattie
• Lauren Michelle Becker, MOT, OTR/L
• Milton Edward Becknell, PH.D.
• James Gregory Beegan, M.D.
• Katie Ann Belcher, PA-C
• Stacie Bell
• Ella Simone Ben-Porath
• Amie R Bender

• In Home Supportive Care Agency in Centerville, OH
• Providers in Centerville, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.