One Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ONE HOME CARE AGENCY LLC

Practice address

159 Crocker Park Blvd FL 4
Westlake, OH 44145-8131

Phone

(513) 468-1028

Fax

(516) 468-1028

NPI assigned

Jun 3, 2025

Organization subpart

No

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

Authorized official

Name

Natavan Rezakov

Title

President, Alt Admin

Phone

(513) 468-1028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1639063977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD FL 4",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458131",
            "telephone_number": "513-468-1028",
            "fax_number": "516-468-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD FL 4",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458131",
            "telephone_number": "513-468-1028",
            "fax_number": "516-468-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "REZAKOV",
        "authorized_official_first_name": "NATAVAN",
        "authorized_official_title_or_position": "PRESIDENT, ALT ADMIN",
        "authorized_official_telephone_number": "513-468-1028"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.