Assisted Care by Black Stone of Cincinnati, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ASSISTED CARE BY BLACK STONE OF CINCINNATI, LLC

Practice address

8230 Montgomery Rd Ste 205
Cincinnati, OH 45236-2292

Phone

(513) 924-1370

Fax

(513) 924-1372

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Joshua L Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Care by Black Stone Doing business as

Locations

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1831492032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 MONTGOMERY RD STE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362292",
            "telephone_number": "513-924-1370",
            "fax_number": "513-924-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED CARE BY BLACK STONE OF CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care by Black Stone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Cincinnati, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.