Self Reliance, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1200775 Issued in OH

Legal business name

SELF RELIANCE, INC.

Practice address

1307 E. High St.
Springfield, OH 45505-4245

Phone

(937) 525-0809

Fax

(937) 525-9027

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jay A Crawford

Title

President

Phone

(937) 525-0809

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1730439514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E. HIGH ST.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455054245",
            "telephone_number": "937-525-0809",
            "fax_number": "937-525-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E. HIGH ST.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455054245",
            "telephone_number": "937-525-0809",
            "fax_number": "937-525-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF RELIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-525-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "1200775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
            "identifier": "1200775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Sebastian
• Seema S. Dhingra DDS MSD
• Kreshnik Seiti, PHARMD., RPH.
• Lauren Christine Seitz, MOT, OTR/L
• Peter J Seivers, APRN-CNP, DNP
• Jodi Lorain Self, RN
• Nicholas Senior, RPH
• Serene Home Health, LLC
• Michael Steven Severt
• Asad Zafir Shabazz

• In Home Supportive Care Agency in Springfield, OH
• Providers in Springfield, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.