Organization Active NPI

Your Home Care Agency

  • Home Health Aide
  • Mason, OH
National Provider Identifier
1750020889
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
YOUR HOME CARE AGENCY
Practice address
8452 Sugar Maple Dr Apt 102
Mason, OH 45040-7455
Phone
(513) 716-0001
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Suraya Akhmedova
Title
Owner
Phone
(513) 716-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

8452 Sugar Maple Dr Apt 102
Mason, OH 45040-7455

Mailing address

8452 Sugar Maple Dr Apt 102
Mason, OH 45040-7455
Phone (513) 716-0001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1750020889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8452 SUGAR MAPLE DR APT 102",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407455",
            "telephone_number": "513-716-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 SUGAR MAPLE DR APT 102",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407455",
            "telephone_number": "513-716-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "AKHMEDOVA",
        "authorized_official_first_name": "SURAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-716-0001"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.