=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427289792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CIRRUS CONCEPT CONSULTING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/04/2009
-----------------------------------------------------
Last Update Date | 08/04/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 ELIZABETH PL
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45408-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-228-7007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 ELIZABETH PL
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45408-1445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-228-7007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, RN, BSM
-----------------------------------------------------
Name | LESLIE KAHN-BELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-228-7007
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------