Individual provider

Shannon Russell, QMHS/CDCA

Personal Care Attendant Case Manager/Care Coordinator

Shannon Russell, QMHS/CDCA is a provider specialising in Personal Care Attendant in Dayton, OH, registered under NPI 1790250504. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5244 W 2ND ST, Dayton, OH 45417. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5244 W 2ND ST, Dayton, OH 45417 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
CDCA.165915 OH Case Manager/Care Coordinator

This provider holds licence CDCA.165915 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Personal Care Attendant covers

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards NUCC Health Care Provider Taxonomy, code 3747P1801X
Nursing Service Related Providers Technician Personal Care Attendant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3747P1801X Personal Care Attendant Personal Care Attendant OH primary
171M00000X Case Manager/Care Coordinator CDCA.165915 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790250504 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 8, 2018
Last updatedJul 25, 2024
StatusActive
Sole proprietorNo
CredentialQMHS/CDCA
Practice address 5244 W 2ND ST
Dayton, OH 45417
(937) 369-9916
This record was updated on Jul 25, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1790250504 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 2 5 0 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 4 5 0 5 0

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790250504?
NPI 1790250504 is the National Provider Identifier assigned to Shannon Russell, QMHS/CDCA in Dayton, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Personal Care Attendant cover?
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet…
How do I contact Shannon Russell, QMHS/CDCA?
The phone number on file with NPPES is (937) 369-9916, last updated Jul 25, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1790250504 a valid number?
Yes. 1790250504 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.