# INNOVATIVE SENIOR CARE HOME HEALTH OF OHIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Home Health Dayton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437318821
- **Authorized official:** NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 2621 DRYDEN RD, SUITE 107, MORAINE, OH 45439-1661
- **Practice address phone:** (937) 320-9074
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 11/30/2021