Organization Active NPI

Increased Behavior Alternatives Support Services, LLC

  • Home Health Agency
  • Westerville, OH
National Provider Identifier
1477785624
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INCREASED BEHAVIOR ALTERNATIVES SUPPORT SERVICES, LLC
Practice address
604 Office Pkwy
Westerville, OH 43082-7938
Phone
(614) 430-9590
Fax
(614) 430-9622
NPI assigned
Aug 20, 2009
Last updated
Jun 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Tiffiney Sloan
Title
President
Phone
(614) 430-9590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

604 Office Pkwy
Westerville, OH 43082-7938

Mailing address

604 Office Pkwy
Westerville, OH 43082-7938
Phone (614) 430-9590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120627000002 OH Part A Provider - Home Health Agency 1658536537 Practice locations: Westerville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477785624. Details of each certification follow.

Home health agency certification: CCN 369079

Legal name
INCREASED BEHAVIOR ALTERNATIVES SUPPORT SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 2013
Last certification
Nov 1, 2013
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
in OH
Enrollment address
604 Office Pkwy
Westerville, OH 43082-7938

Care Compare: Home health agency

Medicare Care Compare
Listed as
Increased Behavior Alternatives Support ServicesCCN 369079 · All quality measures
Ownership
Proprietary
Certified
Nov 1, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2002646Increased Behavior Alternatives604 Office Pkwy, Westerville, OH 43082Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Increased Behavior Alternatives Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4889 Sinclair Rd
Ste 107
Columbus, OH 43229
Phone (614) 430-9590

760 Lakeview Plaza Blvd
Ste 675
Worthington, OH 43085
Phone (614) 430-9590

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tiffiney Sloan Individual 5% Or Greater Direct Ownership Interest Feb 27, 2012 100%
W-2 Managing Employee Feb 27, 2012

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1477785624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OFFICE PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827938",
            "telephone_number": "614-430-9590",
            "fax_number": "614-430-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OFFICE PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827938",
            "telephone_number": "614-430-9590",
            "fax_number": "614-430-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREASED BEHAVIOR ALTERNATIVES SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "TIFFINEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-430-9590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.