NPIMap

Organization Active NPI

Umbrella Supportive Living LLC

  • In Home Supportive Care Agency
  • Cincinnati, OH
National Provider Identifier
1972291581
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UMBRELLA SUPPORTIVE LIVING LLC
Doing business as
Umbrella Supportive Living LLC
Practice address
5 Triangle Park Dr Ste 501
Cincinnati, OH 45246-3402
Phone
(513) 237-5764
Fax
(513) 672-9589
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
David W GrayNPI 1558954461
Title
Ceo
Phone
(888) 295-3954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5 Triangle Park Dr Ste 501
Cincinnati, OH 45246-3402

Mailing address

5 Triangle Park Dr Ste 501
Cincinnati, OH 45246-3402
Phone (888) 295-3954

Other names 1

  • Umbrella Supportive Living LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5 Triangle Park Dr
Ste 501
Cincinnati, OH 45246
Phone (513) 237-5764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1972291581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TRIANGLE PARK DR STE 501",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463402",
            "telephone_number": "888-295-3954",
            "fax_number": "513-672-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TRIANGLE PARK DR STE 501",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463402",
            "telephone_number": "513-237-5764",
            "fax_number": "513-672-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-295-3954"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umbrella Supportive Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.