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Ohio Medicaid Provider

Adult Care Home Facility in Dayton, OH · enumerated 2007 · authorized official Saundra Ballard, Lpn.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659555407

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Registry record

Entity type Organization (Type 2)
Legal business name Ohio Medicaid Provider
Practice address 322 Albers Ave, Dayton, OH, 45427
Enumeration date Dec 27, 2007
Last updated in NPPES Dec 27, 2007

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License PN0830007 (OH) Primary

Authorized official

Name Saundra Ballard
Title Lpn

Other identifiers

Identifier Type State Issuer
2516950 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-27. Verify at npiregistry.cms.hhs.gov.
Where is Ohio Medicaid Provider located?
The practice location on file with NPPES is in Dayton, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-27.