Organization Active NPI

Portage Choice Homes LLC

  • Home Health Agency
  • Ravenna, OH
National Provider Identifier
1003270695
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PORTAGE CHOICE HOMES LLC
Practice address
4799 New Milford Rd
Ravenna, OH 44266-7902
Phone
(330) 993-0185
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Stalnaker
Title
Ceo
Phone
(330) 993-0185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4799 New Milford Rd
Ravenna, OH 44266-7902

Mailing address

4799 New Milford Rd
Ravenna, OH 44266-7902
Phone (330) 993-0185

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1003270695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 NEW MILFORD RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667902",
            "telephone_number": "330-993-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 NEW MILFORD RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667902",
            "telephone_number": "330-993-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE CHOICE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "STALNAKER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-993-0185"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.