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FIDELITY HEALTH CARE INC NPI 1104250430


NPI Information

NPI: 1104250430
Provider Name: FIDELITY HEALTH CARE INC

Doing Business As: EXPRESSIONS OF HOPE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 36D0881556

Address:
2300 MIAMI VALLEY DR
SUITE 360
CENTERVILLE, OH
ZIP 45459
Phone: (937) 438-7355
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FIDELITY HEALTH CARE INC is a prosthetic orthotic supplier in Centerville, OH. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. FIDELITY HEALTH CARE INC NPI is 1104250430. The provider is registered as an organization entity type.
The provider Is Doing Business As Expressions Of Hope.

The provider's business location address is:

2300 MIAMI VALLEY DR
SUITE 360
CENTERVILLE, OH
ZIP 45459-779
Phone: (937) 438-7355

The provider's authorized official is Paula Thompson .
The authorized official title is President & Ceo and has the following contact phone number (937) 208-6461.

The CLIA number assigned to this NPI record is 36D0881556 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2013 and was last updated on 2/17/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

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
10394090002MEDICARE PIN
20394090001MEDICARE PIN
30908236MEDICAIDOHIO

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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