Innovative Senior Care Home Health of Ohio LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INNOVATIVE SENIOR CARE HOME HEALTH OF OHIO LLC

Doing business as

Brookdale Home Health Dayton

Practice address

2621 Dryden Rd
Suite 107
Moraine, OH 45439-1661

Phone

(937) 320-9074

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Home Health Dayton Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arc Therapy Services LLC

  dba HCA Midwest Hospice & Family Care

  • Community Based Hospice Care Agency
  • Independence, MO
  • NPI 1386072155

  Member Of

  NPD member

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1437318821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 DRYDEN RD",
            "address_2": "SUITE 107",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391661",
            "telephone_number": "937-320-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Home Health Dayton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookdale Home Health Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meaghan Iandolo
• Lilliona Iddings
• Robert Nathan Ilagan, GRADUATE STUDENT
• Yvonne Ingabire
• Mikahla J Inness
• Ulysses Steven Ison, M.S.
• Becky Ivan
• Diane Ivan
• Margaret Kane Jackovitz
• Kyle Raymond Jackson

• Home Health Agency in Moraine, OH
• Providers in Moraine, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.