NON-AGENCY PROVIDER
NPI 1790193142
In Home Supportive Care in Fairborn, OH

Active since July 29, 2014
225 EDNA AVE, FAIRBORN, OH 45324(937) 878-6886 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Non-agency Provider NPPES

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

NON-AGENCY PROVIDER (NPI 1790193142) is a healthcare organization registered as an in home supportive care in Fairborn, Ohio and active in the NPI registry since July 2014. The organization lists Cynthia S Quinn, Personal Care Aide, as its authorized official.

NPPES Registry Identity

NPI1790193142
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameNON-AGENCY PROVIDER
Location Address225 EDNA AVEFairborn, OH 45324-2354
Mailing Address225 Edna AveFairborn, OH 45324-2354 · (937) 878-6886
Organization SubpartNo
Authorized OfficialCynthia S QuinnPersonal Care Aide · (937) 878-6886
Enumeration DateJuly 29, 2014
NPI 1790193142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License Licensed in OH · 400960020809
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.

225 EDNA AVE, Fairborn, OH 45324

Other Identifiers 2

Other0071052OH · Medicaid Waiver Program
Medicaid0071052OH

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 Non-Agency Provider's NPI number?

The NPI number for Non-Agency Provider is 1790193142. It was assigned to this organization in the NPPES registry on July 29, 2014.

Where is Non-Agency Provider located?

Non-Agency Provider is located at 225 Edna Ave, Fairborn, OH 45324. The listed phone number is (937) 878-6886.

What is Non-Agency Provider's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Non-Agency Provider was last updated on July 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.