Organization Active NPI

GSH, LLC

  • In Home Supportive Care Agency
  • Dayton, OH
National Provider Identifier
1841570124
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5702896 Issued in OH
Legal business name
GSH, LLC
Doing business as
Good Samaritan Homes, LLC
Practice address
3690 Dayton Park Dr
Dayton, OH 45414-4406
Phone
(937) 235-0780
Fax
(937) 235-0788
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Twyman Dwayne Millerton
Title
Business Development Manager
Phone
(937) 235-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5702896 OH Primary

Addresses

Primary practice location

3690 Dayton Park Dr
Dayton, OH 45414-4406

Mailing address

3690 Dayton Park Dr
Dayton, OH 45414-4406
Phone (937) 235-0780

Other identifiers 1

IdentifierTypeStateIssuer
2484986MedicaidOH

Other names 1

  • Good Samaritan Homes, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3690 Dayton Park Dr
Dayton, OH 45414
Phone (937) 235-0780

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1841570124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 DAYTON PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144406",
            "telephone_number": "937-235-0780",
            "fax_number": "937-235-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 DAYTON PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454144406",
            "telephone_number": "937-235-0780",
            "fax_number": "937-235-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLERTON",
        "authorized_official_first_name": "TWYMAN",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "937-235-0780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "5702896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2484986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Homes, LLC",
            "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 Aug 18, 2011; 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.