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NORTHWEST ADULT SERVICES LLC NPI 1053863613


NPI Information

NPI: 1053863613
Provider Name: NORTHWEST ADULT SERVICES LLC

Other Name: NORTHWEST ADULT SERVICES

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
6435 DIXIE HWY
FAIRFIELD, OH
ZIP 45014
Phone: (513) 493-2544
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NORTHWEST ADULT SERVICES LLC is a respite care in Fairfield, OH. NORTHWEST ADULT SERVICES LLC NPI is 1053863613. The provider is registered as an organization entity type.
The provider Other Name Is Northwest Adult Services.

The provider's business location address is:

6435 DIXIE HWY
FAIRFIELD, OH
ZIP 45014-421
Phone: (513) 493-2544
Fax: (800) 864-3906

The provider's authorized official is Leigh Miltimore .
The authorized official title is Regional Administrator and has the following contact phone number (740) 808-1640.

The enumeration date for this NPI number is 10/31/2016 and was last updated on 5/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite Care3925642OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10179002MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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