Organization Active NPI

St.Michael Inspirational Care LLC

  • Home Health Agency
  • Fairfield, OH
National Provider Identifier
1447592449
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST.MICHAEL INSPIRATIONAL CARE LLC
Practice address
3208 Roesch Blvd Apt 4
Fairfield, OH 45014-7000
Phone
(862) 215-6791
NPI assigned
Mar 18, 2013
Last updated
Mar 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Mr. Michael Frunwi Atia
Title
President Ceo
Phone
(862) 215-6791

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X 0903419 OH
Adult Care Home Facility 311ZA0620X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Durable Medical Equipment & Medical Supplies 332B00000X
Private Vehicle 347C00000X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

3208 Roesch Blvd Apt 4
Fairfield, OH 45014-7000

Mailing address

3208 Roesch Blvd Apt 4
Fairfield, OH 45014-7000
Phone (862) 215-6791

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1447592449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 ROESCH BLVD APT 4",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147000",
            "telephone_number": "862-215-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 ROESCH BLVD APT 4",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147000",
            "telephone_number": "862-215-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MICHAEL INSPIRATIONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "ATIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRUNWI",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "862-215-6791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "0903419",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.