Individual provider Active NPI

Eric Dukes

  • Case Manager/Care Coordinator
  • Dayton, OH
National Provider Identifier
1417523275
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
42 E Rahn Rd
Dayton, OH 45429-5462
Phone
(937) 802-5440
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

42 E Rahn Rd
Dayton, OH 45429-5462

Mailing address

42 E Rahn Rd
Dayton, OH 45429-5462
Phone (937) 802-5440

Other identifiers 1

IdentifierTypeStateIssuer
0411413MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.lifechangingfamilycare.com Other Life Changing Family Care, LLC
Other URL www.lifechangingfamilycare.com Other Life Changing Family Care, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1417523275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295462",
            "telephone_number": "937-802-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295462",
            "telephone_number": "937-802-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411413",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lifechangingfamilycare.com",
            "affiliation": "Y",
            "endpointDescription": "42 East Rahn Road Suite 104, Dayton, OH 45429-5459",
            "affiliationName": "Life Changing Family Care, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.lifechangingfamilycare.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42 E Rahn Rd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454295462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lifechangingfamilycare.com",
            "affiliation": "Y",
            "endpointDescription": "42 East Rahn Road Suite 104, Dayton, OH 45429-5459",
            "affiliationName": "Life Changing Family Care, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.lifechangingfamilycare.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "42 E Rahn Rd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454295462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 2, 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.