Arc Therapy Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0214HSP Issued in OH

Legal business name

ARC THERAPY SERVICES LLC

Doing business as

Brookdale Hospice Dayton

Practice address

2621 Dryden Rd
Suite 204
Moraine, OH 45439-1661

Phone

(937) 429-3677

NPI assigned

Oct 8, 2012

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donnis M. Evans

Title

Manager, Regulatory Practices

Phone

(615) 564-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookdale Hospice Dayton Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Health at Home Hospice- Dayton, LLC

  dba Caretenders Hospice

  • Community Based Hospice Care Agency
  • Moraine, OH
  • NPI 1710554647

  Sold to, 2021-06-22

  CMS change of ownership

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1396097986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTWOOD PL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275021",
            "telephone_number": "615-221-2250",
            "fax_number": "615-221-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD",
            "address_2": "SUITE 204",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391661",
            "telephone_number": "937-429-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER, REGULATORY PRACTICES",
        "authorized_official_telephone_number": "615-564-8181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0214HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Hospice Dayton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Hospice Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianna J. Anderson, CT
• Williette Anderson
• Angel Hearts Home Health Care, Inc
• Sumaiya Anwar
• Lena Rose Aprile
• Jane Ruthann Aridge, REGISTERED NURSE
• Miranda Armstead
• Gwendolyn Ann Thomas Ashby, COUNSELOR TRAINEE
• Christal T Askren, BSN,RN
• Taylor Ashley Atkins

• Community Based Hospice Care Agency in Moraine, OH
• Providers in Moraine, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.