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Non-agency Provider
In Home Supportive Care Agency in Fairborn, Ohio
NPI 1790193142

Non-agency Provider is a In Home Supportive Care Agency based in Fairborn, OH. Non-agency Provider practices in Fairborn, OH. The NPI Number for Non-agency Provider is 1790193142 and holds a License No. 400960020809 (Ohio).

The current practice location address for Non-agency Provider is 225 Edna Ave, Fairborn, OH and can be reached out via phone at 937-878-6886.

Location: 225 Edna Ave, Fairborn, OH, 45324-2354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790193142
Provider Name
Non-agency Provider
Credential
Provider Entity Type
Organization
Address
225 Edna Ave, Fairborn, OH, 45324-2354
Phone Number
937-878-6886
Fax Number
Provider Enumeration Date
07/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0071052 01 OH MEDICAID WAIVER PROGRAM
0071052 05 OH
institution
Provider Business Practice Location Address Details
Address
225 Edna Ave
City
Fairborn
State
Ohio
Zip
45324-2354
Phone Number
937-878-6886
Fax Number
person
Provider Business Mailing Address Details
Address
225 Edna Ave
City
Fairborn
State
Ohio
Zip
45324-2354
Phone Number
937-878-6886
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
400960020809 (Ohio)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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