Bouahom Health Management Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1621536 Issued in OH

Legal business name

BOUAHOM HEALTH MANAGEMENT INC.

Doing business as

DISTINGUISHED ORTHOPEDI HOME CARE INC

Practice address

7560 Central Parke Blvd
Mason, OH 45040-6816

Phone

(513) 770-3117

Fax

(513) 770-0118

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Phetmany Brower

Title

President

Phone

(513) 336-6133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DISTINGUISHED ORTHOPEDI HOME CARE INC Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1841329869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406816",
            "telephone_number": "513-770-3117",
            "fax_number": "513-770-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CENTRAL PARKE BLVD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406816",
            "telephone_number": "513-770-3117",
            "fax_number": "513-770-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUAHOM HEALTH MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "PHETMANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-336-6133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1621536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2945504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISTINGUISHED ORTHOPEDI HOME CARE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DISTINGUISHED ORTHOPEDI HOME CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Bosse, PSYD
• Ryan Bosse
• Troy Bosse
• Miranda D Boston, MA SLP-CCC
• Barbara Michelle Botts, LMT
• Stephanie N Bowen
• Colin Alexander Bowers, DO
• Sherry Bowling
• Deborah Boylan
• Luke Bradford, RBT

• Home Health Agency in Mason, OH
• Providers in Mason, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.