Organization Active NPI

The Resident Home Corporation

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1508111410
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE RESIDENT HOME CORPORATION
Practice address
3030 W Fork Rd
Cincinnati, OH 45211
Phone
(513) 389-7500
Fax
(513) 389-7508
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Mr. James Steffey
Title
Chief Executive Officer
Phone
(513) 389-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3030 W Fork Rd
Cincinnati, OH 45211

Mailing address

3030 W Fork Rd
Cincinnati, OH 45211-1944
Phone (513) 389-7500

Other identifiers 1

IdentifierTypeStateIssuer
3100218MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604000039 OH Part B Supplier - Clinic/Group Practice 9537424064 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH

National Provider Directory

National Provider Directory
Tax ID family
The Resident Home Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1508111410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W FORK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111944",
            "telephone_number": "513-389-7500",
            "fax_number": "513-389-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W FORK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45211",
            "telephone_number": "513-389-7500",
            "fax_number": "513-389-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENT HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "STEFFEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "513-389-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.