M.Yansaneh Ip

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

132481 Issued in OH

Legal business name

M.YANSANEH IP

Practice address

3537 Heath Trce
Canal Winchester
Canal Winchester, OH 43110-7706

Phone

(513) 544-1116

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Mayeni Yansaneh, NURSE

Title

LPN

Phone

(513) 544-1116

Specialties & licenses 1

Addresses

Other names 1

• M.Yansaneh IP Other name

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1013223452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 HEATH TRCE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107706",
            "telephone_number": "513-544-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 HEATH TRCE",
            "address_2": "CANAL WINCHESTER",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107706",
            "telephone_number": "513-544-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.YANSANEH IP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "YANSANEH",
        "authorized_official_first_name": "MAYENI",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "513-544-1116",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "OH",
            "license": "132481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.Yansaneh IP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christa Luckett, STNA
• Justin Luckett, LMT
• Lauren Riley Lund
• Alexandra Gail Lundgren, CCC-SLP
• Charles Lynsky, RPH
• Magnolia Canal Winchester LLC (Magnolia Dental Canal Winchester)
• Benjamin Kipkosgei Mais
• Majors Transportation LLC
• Neil N Makadia, MD
• John Riley Manasco, DPT

• Pediatric Skilled Nursing Facility in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Pediatric Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.