Sandra Kleiser Black

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

113 Goldengate Dr
Centerville, OH 45459-4326

Phone

(937) 225-1481

NPI assigned

Mar 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1821898115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GOLDENGATE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594326",
            "telephone_number": "937-225-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GOLDENGATE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594326",
            "telephone_number": "937-225-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SANDRA",
        "middle_name": "KLEISER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene S Bisgaard, CNP
• Tiara Bishop
• Michelle L Bizzarro, CNP
• Bryan Black, BC-HIS, A.C.A.
• Marilyn Sue Black
• Black'S Hearing Aid Services, Inc.
• Sara Ruth Blacklidge, PC
• Danielle Loury Blankenship, DPT
• Kody Lane Blankenship
• David C. Blocker, M.D.

• Home Health Aide in Centerville, OH
• Providers in Centerville, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.