Organization Active NPI

Bastin Home Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Williamsburg, OH
National Provider Identifier
1770177800
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BASTIN HOME INC
Practice address
3772 Bass Rd
Williamsburg, OH 45176-9785
Phone
(513) 734-2662
Fax
(513) 724-2882
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Miss Debbie Lynn Bastin, RNNPI 1841887395
Title
Administrator
Phone
(513) 734-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

3772 Bass Rd
Williamsburg, OH 45176-9785

Mailing address

3772 Bass Rd
Williamsburg, OH 45176-9785
Phone (513) 734-2662

Other identifiers 1

IdentifierTypeStateIssuer
2000659MedicaidOH

National Provider Directory

National Provider Directory

Locations

3772 Bass Rd
Williamsburg, OH 45176
Phone (513) 734-2662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1770177800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 BASS RD",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451769785",
            "telephone_number": "513-734-2662",
            "fax_number": "513-724-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 BASS RD",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451769785",
            "telephone_number": "513-734-2662",
            "fax_number": "513-724-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTIN HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "BASTIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "513-734-2662",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000659",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.