Sueann Jefferds

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

5146 Hallgate Ave
Toledo, OH 43612-3020

Phone

(419) 806-9908

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Superior Kitchens Baths and Remodeling LLC

  • Home Modifications Contractor
  • Toledo, OH
  • NPI 1952000457
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1003533852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 HALLGATE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436123020",
            "telephone_number": "419-806-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 HALLGATE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436123020",
            "telephone_number": "419-806-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERDS",
        "first_name": "SUEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296271",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Jay
• Joshua Lynn Jay, CAA
• Victoria Jaye
• Edna Marie Jean
• Robert D Jefferds III
• Nicole Renee Jeffers
• Taishia Jonel Jeffers
• Robyn Marelle Jefferson-Colbert, S.T.N.A
• Arteisia Jefferson
• Ashontea Jefferson

• Home Modifications Contractor in Toledo, OH
• Providers in Toledo, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.