Organization Active NPI

Athens County Department of Job & Family Services

  • Home Health Agency
  • Athens, OH
National Provider Identifier
1013125525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATHENS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES
Practice address
184 N Lancaster St
Athens, OH 45701-1605
Phone
(740) 592-4477
Fax
(740) 593-6373
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tara B Wallace, MHSA
Title
Director of Health Services
Phone
(740) 592-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

184 N Lancaster St
Athens, OH 45701-1605

Mailing address

184 N Lancaster St
Athens, OH 45701-1605
Phone (740) 592-4477

Other identifiers 2

IdentifierTypeStateIssuer
0850771MedicaidOH
412314OtherOHPASSPORT TITLE III

National Provider Directory

National Provider Directory
Tax ID family
Athens County5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

184 N Lancaster St
Athens, OH 45701
Phone (740) 592-4477

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013125525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 N LANCASTER ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011605",
            "telephone_number": "740-592-4477",
            "fax_number": "740-593-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 N LANCASTER ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011605",
            "telephone_number": "740-592-4477",
            "fax_number": "740-593-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "740-592-4477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0850771",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT TITLE III",
            "identifier": "412314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.