Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ohio Medicaid Provider

Organization Adult Care Home Facility · NPI 1659555407

Ohio Medicaid Provider is an Adult Care Home Facility in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

322 Albers Ave
Dayton, OH 45427-1703
Phone: (937) 479-1676

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Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence PN0830007 (OH)

Record details

NPI number1659555407
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saundra Ballard — Lpn · (937) 479-1676
NPI enumeratedDecember 27, 2007
Last updated in NPPESDecember 27, 2007
Mailing address322 Albers Ave, Dayton, OH 45427-1703

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