Organization Active NPI

Hearth & Home at Vandalia

  • Physical Disabilities Residential Treatment Facility
  • Dayton, OH
National Provider Identifier
1497878102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
2341RCF Issued in OH
Legal business name
HEARTH & HOME AT VANDALIA
Practice address
55 Great Hill Dr
Dayton, OH 45414-1824
Phone
(937) 264-1140
Fax
(937) 264-1149
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rose L Siddle
Title
Administrator
Phone
(937) 264-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 2341RCF OH Primary

Addresses

Primary practice location

55 Great Hill Dr
Dayton, OH 45414-1824

Mailing address

55 Great Hill Dr
Dayton, OH 45414-1824
Phone (937) 264-1140

National Provider Directory

National Provider Directory
Tax ID family
Hearth Home Assisted Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497878102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREAT HILL DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141824",
            "telephone_number": "937-264-1140",
            "fax_number": "937-264-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREAT HILL DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141824",
            "telephone_number": "937-264-1140",
            "fax_number": "937-264-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTH & HOME AT VANDALIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDLE",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-264-1140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "OH",
            "license": "2341RCF",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.