Our Home Fairborn Op LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OUR HOME FAIRBORN OP LLC

Doing business as

Our Home Fairborn

Practice address

7800 Dayton Springfield Rd
Fairborn, OH 45324-1997

Phone

(937) 864-1500

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Greg Cini

Title

Member

Phone

(614) 439-3218

Specialties & licenses 2

Addresses

Other names 1

• Our Home Fairborn Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1861250565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241997",
            "telephone_number": "937-864-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241997",
            "telephone_number": "937-864-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME FAIRBORN OP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "CINI",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-439-3218"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Home Fairborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ethiene Palou del Rio

• Assisted Living Facility in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.