Nine19 Residential Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NINE19 RESIDENTIAL CARE LLC

Practice address

1107 Taylor Mills Dr
Reynoldsburg, OH 43068-4779

Phone

(614) 753-1165

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Paige Suttles

Title

Doo

Phone

(614) 753-1165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1720835861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 TAYLOR MILLS DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684779",
            "telephone_number": "614-753-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 TAYLOR MILLS DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684779",
            "telephone_number": "614-753-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINE19 RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SUTTLES",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "614-753-1165"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.