Individual provider Active NPI

Theodore Joseph Hyle III

  • In Home Supportive Care Agency
  • Cincinnati, OH
National Provider Identifier
1730767211
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
10412 Zocalo Dr
Cincinnati, OH 45251-1011
Phone
(513) 560-0791
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10412 Zocalo Dr
Cincinnati, OH 45251-1011

Mailing address

10412 Zocalo Dr
Cincinnati, OH 45251-1011
Phone (513) 560-0791

Other identifiers 1

IdentifierTypeStateIssuer
3124958OtherOHIO DODD

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1730767211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 ZOCALO DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511011",
            "telephone_number": "513-560-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ZOCALO DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511011",
            "telephone_number": "513-560-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLE",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DODD",
            "identifier": "3124958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.