HOME CARE BY BLACK STONE
NPI 1023311222
Home Health in Kettering, OH

Active since December 09, 2010CLIA 36D1078795 · Waiver
580 LINCOLN PARK BLVD STE 101, KETTERING, OH 45429(937) 643-2422(937) 643-2415 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Apr 20, 2021, Feb 19, 2021 (3 updates tracked since 2021).

About Home Care By Black Stone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME CARE BY BLACK STONE (NPI 1023311222) is a healthcare organization registered as a home health in Kettering, Ohio and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through January 15, 2028, maintains a secondary practice location in Dayton, and lists Joshua L Proffitt, President, as its authorized official.

NPPES Registry Identity

NPI1023311222
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameASSISTED CARE BY BLACK STONE OF DAYTON, LLC
Location Address580 LINCOLN PARK BLVD STE 101Kettering, OH 45429-3493
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 442-4154
Fax(937) 643-2415
Organization SubpartNo
Authorized OfficialJoshua L ProffittPresident · (337) 233-1307
Enumeration DateDecember 9, 2010
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1023311222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
580 LINCOLN PARK BLVD STE 101, Kettering, OH 45429

Other Names 1

Doing Business AsHome Care By Black Stone

Secondary Practice Location 1

Location 13040 Kettering BlvdDayton, OH 45439-1922 · Phone (937) 643-2242 · Fax (937) 643-2415

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1078795

Cambridge Home Health Care, Inc Dba Home Care By Black Stone · Kettering, OH
Active · expires Jan 15, 2028
CLIA Number36D1078795
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorTheresa Krull
Laboratory Phone(937) 643-2422
Laboratory LocationCambridge Home Health Care, Inc Dba Home Care By Black Stone580 Lincoln Park, Suite 101, Kettering, OH 45429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
580 LINCOLN PARK BLVD STE 101
KETTERING, OH 45429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Assisted Care By Black Stone Of Dayton, LLC's NPI number?

The NPI number for Assisted Care By Black Stone Of Dayton, LLC is 1023311222. It was assigned to this organization in the NPPES registry on December 9, 2010. The provider is doing business as Home Care By Black Stone.

Where is Assisted Care By Black Stone Of Dayton, LLC located?

Assisted Care By Black Stone Of Dayton, LLC is located at 580 Lincoln Park Blvd Ste 101, Kettering, OH 45429. The listed phone number is (937) 643-2422.

What is Assisted Care By Black Stone Of Dayton, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Assisted Care By Black Stone Of Dayton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1078795) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Assisted Care By Black Stone Of Dayton, LLC accept?

Health plans from CareSource list Assisted Care By Black Stone Of Dayton, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Assisted Care By Black Stone Of Dayton, LLC was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.