Provider Demographics
NPI:1619683711
Name:ROGERS HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:ROGERS HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-968-9903
Mailing Address - Street 1:120 W 2ND ST STE 531
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1602
Mailing Address - Country:US
Mailing Address - Phone:937-210-9117
Mailing Address - Fax:
Practice Address - Street 1:120 W 2ND ST STE 531
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1602
Practice Address - Country:US
Practice Address - Phone:937-210-9117
Practice Address - Fax:937-963-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health