Servucare Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERVUCARE HOME CARE

Practice address

33 Donald Dr Ste 1
Fairfield, OH 45014-3022

Phone

(513) 580-8218

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kawonia Neely

Title

Ceo

Phone

(513) 580-8218

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1689280943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 JAVELIN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082301",
            "telephone_number": "779-537-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DONALD DR STE 1",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143022",
            "telephone_number": "513-580-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVUCARE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "KAWONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-580-8218",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424465",
            "state": "OH"
        }
    ],
    "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 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.