Active NPI
Tiffany Davenport
- Home Health Agency
- Huber Heights, OH
National Provider Identifier
1508495813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 8007 Mount Hood
Huber Heights, OH 45424-6934 - Phone
- (937) 545-5793
- NPI assigned
- Apr 7, 2020
- Last updated
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
8007 Mount Hood
Huber Heights, OH 45424-6934
Mailing address
8007 Mount Hood
Huber Heights, OH 45424-6934
Phone (937) 545-5793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088176 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Quality Home Care LLC | Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Exceptional Quality Home Care
- Home Health Agency
- Huber Heights, OH
- NPI 1215572284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1508495813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 MOUNT HOOD",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246934",
"telephone_number": "937-545-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8007 MOUNT HOOD",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246934",
"telephone_number": "937-545-5793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "TIFFANY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088176",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.