Modern Ally Company, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MODERN ALLY COMPANY, LLC

Practice address

1545 S Breiel Blvd Ste E
Middletown, OH 45044-6703

Phone

(937) 321-5583

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Moore

Title

Chief Executive Officer

Phone

(937) 321-5583

Specialties & licenses 1

Addresses

Other names 1

• Modern Ally, LLC Doing business as

Locations

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1902390149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S BREIEL BLVD STE E",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446703",
            "telephone_number": "937-321-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S BREIEL BLVD STE E",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446703",
            "telephone_number": "937-321-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ALLY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "937-321-5583",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Ally, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica L Minor, LPN
• Vinod Miriyala, DDS, BDS, MPH
• Jeffrey Albert Mitchell, DDS
• Laurie Etta Mitchell, LISW, ACSW
• Percy David Mitchell Jr., MD
• Claire Modesto
• Gregory CJ Roger Moellering, MD
• Nicole Pappas Mollica, MSSA, LSW
• Momentum Provider Services LLC
• Heather N Moon, LPN

• Home Health Agency in Middletown, OH
• Providers in Middletown, 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 Jun 20, 2018; 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.