Active NPI
Foundations Total Care LLC
- Home Health Agency
- Englewood, OH
National Provider Identifier
1497575435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FOUNDATIONS TOTAL CARE LLC
- Practice address
- 12 W Wenger Rd Ste S
Englewood, OH 45322-2755 - Phone
- (937) 540-0202
- Fax
- (937) 998-1036
- NPI assigned
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teaira N Mallory
- Title
- Director of Operations/ Owner
- Phone
- (937) 422-7330
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Skilled Nursing Facility | 314000000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
12 W Wenger Rd Ste S
Englewood, OH 45322-2755
Mailing address
12 W Wenger Rd Ste S
Englewood, OH 45322-2755
Phone (937) 540-0202
National Provider Directory
National Provider Directory- Tax ID family
- Foundations Total Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Englewood, OH
- NPI 1447046305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765497600000",
"number": "1497575435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W WENGER RD STE S",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222755",
"telephone_number": "937-540-0202",
"fax_number": "937-998-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 W WENGER RD STE S",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222755",
"telephone_number": "937-540-0202",
"fax_number": "937-998-1036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS TOTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A",
"authorized_official_last_name": "MALLORY",
"authorized_official_first_name": "TEAIRA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/ OWNER",
"authorized_official_telephone_number": "937-422-7330"
},
"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": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"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 Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.