Active NPI
Carrie A Dempsey, ISP
- In Home Supportive Care Agency
- Waverly, OH
National Provider Identifier
1013519917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 6601831
- Practice address
- 2917 Fish and Game Rd
Waverly, OH 45690-9571 - Phone
- (740) 941-1531
- NPI assigned
- Nov 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 6601831 | OH | Primary |
Addresses
Primary practice location
2917 Fish and Game Rd
Waverly, OH 45690-9571
Mailing address
350 Helen Dr
Vermilion, OH 44089-2504
Phone (440) 290-6014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6601831 | OH | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1013519917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HELEN DR",
"city": "VERMILION",
"state": "OH",
"postal_code": "440892504",
"telephone_number": "440-290-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 FISH AND GAME RD",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456909571",
"telephone_number": "740-941-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPSEY",
"first_name": "CARRIE",
"middle_name": "A",
"credential": "ISP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-15",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "6601831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.