# MONTGOMERY COUNTY COURT HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Public Health Dayton & Montgomery County - Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578625679
- **Authorized official:** MR. JEFFREY A. COOPER MS (HEALTH COMMISSIONER)
- **Authorized official phone:** (937) 225-5700

## Contact information

- **Practice address:** 117 S MAIN ST HOME CARE - 3RD FLOOR, DAYTON, OH 45422
- **Practice address phone:** (937) 225-4500
- **Practice address fax:** (937) 496-3318
- **Mailing address:** 117 S MAIN ST, FSO - SECOND FLOOR, DAYTON, OH 45422-2005
- **Mailing address phone:** (937) 225-4543
- **Mailing address fax:** (937) 496-3318

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 07/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000002884 | ANTHEM | OH |
| 01 | — | 0048719 | MOLINA | OH |
| 05 | — | 0048719 | — | OH |
| 01 | — | 31600172 | HUMANA | OH |