Organization Active NPI

Marty'S Personal Care LLC

  • In Home Supportive Care Agency
  • Dayton, OH
National Provider Identifier
1447858386
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARTY'S PERSONAL CARE LLC
Practice address
711 Salem Ave
Dayton, OH 45406-5836
Phone
(937) 478-8737
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Mr. Marty Falin
Title
Administrator
Phone
(937) 478-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

711 Salem Ave
Dayton, OH 45406-5836

Mailing address

711 Salem Ave
Dayton, OH 45406-5836
Phone (937) 478-8737

Other identifiers 1

IdentifierTypeStateIssuer
5708747MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1447858386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065836",
            "telephone_number": "937-478-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065836",
            "telephone_number": "937-478-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY'S PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "FALIN",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-478-8737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5708747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "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 Oct 13, 2020; 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.