NPIMap

Organization Active NPI

Kooby Medical Supplies LLC

Doing business as Kooby Medical Supplies

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1780496695
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KOOBY MEDICAL SUPPLIES LLC
Doing business as
Kooby Medical Supplies
Practice address
533 Windsor Park Dr
Dayton, OH 45459-4112
Phone
(937) 610-6058
NPI assigned
Jan 27, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mahmoud Issa
Title
Owner
Phone
(937) 610-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

533 Windsor Park Dr
Dayton, OH 45459-4112

Mailing address

533 Windsor Park Dr
Dayton, OH 45459-4112
Phone (937) 610-6058

Other names 1

  • KOOBY MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory

Locations

533 Windsor Park Dr
Dayton, OH 45459
Phone (937) 610-6058

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1780496695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-610-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-610-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOBY MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-610-6058"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOOBY MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KOOBY MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2025; 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.