Healthcare Provider Details

I. General information

NPI: 1437002284
Provider Name (Legal Business Name): FLAMINGO HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 WALMAC ST
DAYTON OH
45424-2360
US

IV. Provider business mailing address

7620 WALMAC ST
DAYTON OH
45424-2360
US

V. Phone/Fax

Practice location:
  • Phone: 937-716-7390
  • Fax:
Mailing address:
  • Phone: 937-716-7390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIDGETTE HASTY N HASTY
Title or Position: NURSE
Credential: RN,BSN
Phone: 937-716-7390