Active NPI
Michenda Boddie
- Home Health Agency
- Dayton, OH
National Provider Identifier
1679371439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1635 Vancouver Dr
Dayton, OH 45406-4751 - Phone
- (937) 267-0125
- NPI assigned
- Mar 6, 2025
- 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 | OH | Primary |
Addresses
Primary practice location
1635 Vancouver Dr
Dayton, OH 45406-4751
Mailing address
1635 Vancouver Dr
Dayton, OH 45406-4751
Phone (937) 267-0125
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1679371439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 VANCOUVER DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454064751",
"telephone_number": "937-267-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 VANCOUVER DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454064751",
"telephone_number": "937-267-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODDIE",
"first_name": "MICHENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"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 Mar 6, 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.