OrganizationActive
Ohio Medicaid Provider
NPI 1659555407 · Adult Care Home Facility · Dayton, OH
Ohio Medicaid Provider is a Adult Care Home Facility organization in Dayton, OH (NPI 1659555407).
Provider details
- NPI number
- 1659555407
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Saundra Ballard, LPN(937) 479-1676
- License
- PN0830007 (OH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
322 Albers Ave
Dayton, OH 45427-1703
Phone: (937) 479-1676
Street-level locationGet directions
Mailing address
322 Albers Ave
Dayton, OH 45427-1703
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2007-12-27
Frequently asked questions
- What is Ohio Medicaid Provider's NPI number?
- Ohio Medicaid Provider's National Provider Identifier (NPI) is 1659555407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ohio Medicaid Provider?
- Ohio Medicaid Provider is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Ohio Medicaid Provider located?
- Ohio Medicaid Provider's practice location on file with NPPES is 322 Albers Ave, Dayton, OH 45427-1703.
- What is Ohio Medicaid Provider's phone number?
- The practice phone number listed in the NPPES registry for Ohio Medicaid Provider is (937) 479-1676.
- Who is the authorized official for Ohio Medicaid Provider?
- The authorized official listed on Ohio Medicaid Provider's NPPES record is Saundra Ballard, LPN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ohio Medicaid Provider's NPI active?
- Yes — Ohio Medicaid Provider's NPI (1659555407) is active in the NPPES registry as of the last update on 2007-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.