Provider Demographics
NPI:1821046699
Name:DEFINITIVE HEALTH AND COMMUNITY SOLUTIONS INC
Entity Type:Organization
Organization Name:DEFINITIVE HEALTH AND COMMUNITY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONDORA
Authorized Official - Middle Name:F
Authorized Official - Last Name:TINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-276-3099
Mailing Address - Street 1:1 ELIZABETH PL
Mailing Address - Street 2:SUITE 800, NW GROUND
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45408-1445
Mailing Address - Country:US
Mailing Address - Phone:937-276-3099
Mailing Address - Fax:937-443-0598
Practice Address - Street 1:1 ELIZABETH PL
Practice Address - Street 2:SUITE 800, NW GROUND
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45408-1445
Practice Address - Country:US
Practice Address - Phone:937-276-3099
Practice Address - Fax:937-443-0598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2641663Medicaid
OH36-8123Medicare ID - Type Unspecified