NPIMap

Organization Active NPI

Phase 1 Home Care Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Cincinnati, OH
National Provider Identifier
1548978299
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
PHASE 1 HOME CARE SERVICES
Doing business as
Phase 1 Home care services
Practice address
1909 Truitt Ave Apt 1
Cincinnati, OH 45212-1041
Phone
(513) 364-4606
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Shawanna F LasleyNPI 1710530431
Title
Owner
Phone
(513) 364-4606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

1909 Truitt Ave Apt 1
Cincinnati, OH 45212-1041

Mailing address

1909 Truitt Ave Apt 1
Cincinnati, OH 45212-1041
Phone (513) 364-4606

Other identifiers 1

IdentifierTypeStateIssuer
0485634MedicaidOH

Other names 1

  • Phase 1 Home care services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1548978299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 TRUITT AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121041",
            "telephone_number": "513-364-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 TRUITT AVE APT 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121041",
            "telephone_number": "513-364-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE 1 HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "LASLEY",
        "authorized_official_first_name": "SHAWANNA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-364-4606"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phase 1 Home care services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 14, 2022; 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.