DOMINIQUE E DOTHARD — NPI 1093671406 (CMS-Certified Home Health Care & Skilled Nursing Agency in CAMPBELL, OH)

CMS-1500 Box 24J / 33a • NPI

1093671406

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

777 PORTER AVE, CAMPBELL, OH, 44405-1418

✓ 9-Digit EDI 837 ZIP+4 (44405-1418)

Practice Phone & Referral Fax

(330) 918-5588

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093671406 (DOMINIQUE E DOTHARD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093671406` (NPI-1 Individual Practitioner)
Provider / Legal Name	DOMINIQUE E DOTHARD
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	777 PORTER AVE, CAMPBELL, OH, 44405-1418
Practice Telephone / Fax	Tel: (330) 918-5588
Administrative Mailing Address	777 PORTER AVE, CAMPBELL, OH, 44405-1418
Enumeration & Last Sync	Enumerated: 2025-12-30 \| CMS Record Updated: 2025-12-30

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

777 PORTER AVE, CAMPBELL, OH, 44405-1418

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Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DOMINIQUE E DOTHARD)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: OH \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DOMINIQUE E DOTHARD (NPI #1093671406)