Organization Active NPI

Addison Home Health Services LLC

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1467758334
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADDISON HOME HEALTH SERVICES LLC
Practice address
400 E 5TH St Ste a
Dayton, OH 45402-2963
Phone
(888) 570-1152
Fax
(937) 771-1661
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Authorized official

Name
Mr. Islom Shakhbandarov
Title
Ceo
Phone
(888) 570-1152

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary
Nursing Care Agency 251J00000X OH
In Home Supportive Care Agency 253Z00000X OH

Addresses

Primary practice location

400 E 5TH St Ste a
Dayton, OH 45402-2963

Mailing address

400 E 5TH St Ste a
Dayton, OH 45402-2963
Phone (888) 570-1152

Other names 1

  • INA Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

400 E 5th St
Ste A
Dayton, OH 45402
Phone (888) 570-1152

1819 Troy St
Ste C
Dayton, OH 45404

400 E 5th St
Dayton, OH 45402

1819 Troy St
Ste 3
Dayton, OH 45404
Phone (888) 570-1152

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620518400000",
    "number": "1467758334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 5TH ST STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022963",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 5TH ST STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022963",
            "telephone_number": "888-570-1152",
            "fax_number": "937-771-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAKHBANDAROV",
        "authorized_official_first_name": "ISLOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-570-1152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INA Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INA Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 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.