Homecare 360 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMECARE 360 LLC

Practice address

3636 Montgomery Rd
Loveland, OH 45140-1573

Phone

(513) 623-0232

Fax

(188) 855-8554

NPI assigned

Sep 22, 2012

Last updated

Sep 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yury Pivor

Title

Presedent

Phone

(513) 623-0232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1700137338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 MONTGOMERY RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401573",
            "telephone_number": "513-623-0232",
            "fax_number": "188-855-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MONTGOMERY RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451401573",
            "telephone_number": "513-623-0232",
            "fax_number": "188-855-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "PIVOR",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "513-623-0232",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Sep 22, 2012; 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.