Individual provider Active NPI

Sandrine Benewende Zombre

  • Home Health Aide
  • Dayton, OH
National Provider Identifier
1780469080
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
UY623430 Issued in OH
Practice address
1505 Parkbrook Dr
Dayton, OH 45458-1871
Phone
(217) 418-8690
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X UY623430 OH Primary

Addresses

Primary practice location

1505 Parkbrook Dr
Dayton, OH 45458-1871

Mailing address

1505 Parkbrook Dr
Dayton, OH 45458-1871
Phone (217) 418-8690

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

State licenses

LicenseStateTypeSpecialty
UY623430OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1780469080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PARKBROOK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581871",
            "telephone_number": "217-418-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PARKBROOK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581871",
            "telephone_number": "217-418-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMBRE",
        "first_name": "SANDRINE",
        "middle_name": "BENEWENDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "UY623430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.