Organization Active NPI

Home Health MDS

  • Geriatric Medicine (Internal Medicine) Physician
  • Mason, OH
National Provider Identifier
1780343889
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
HOME HEALTH MDS
Practice address
464 Attleboro CT
Mason, OH 45040-2213
Phone
(513) 667-9251
NPI assigned
Dec 16, 2021
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Ugoala C Banks, MDNPI 1962596700
Title
Medical Director
Phone
(513) 505-6309

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
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

464 Attleboro CT
Mason, OH 45040-2213

Mailing address

PO Box 316
Kings Mills, OH 45034-0316
Phone (513) 667-9251

National Provider Directory

National Provider Directory

Locations

31690 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (248) 702-0838

Practitioners & affiliated clinicians

Practitioners 2

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": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1780343889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "KINGS MILLS",
            "state": "OH",
            "postal_code": "450340316",
            "telephone_number": "513-667-9251",
            "fax_number": "513-486-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ATTLEBORO CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402213",
            "telephone_number": "513-667-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH MDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "UGOALA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-505-6309",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "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 Jul 10, 2023; 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.