Individual provider Active NPI

Willis Barker, HHA

  • Home Health Agency
  • Cleveland Heights, OH
National Provider Identifier
1013643956
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
2490 Lee Blvd Ste 311
Cleveland Heights, OH 44118-1404
Phone
(216) 233-0590
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2490 Lee Blvd Ste 311
Cleveland Heights, OH 44118-1404

Mailing address

2490 Lee Blvd Ste 313
Cleveland Heights, OH 44118-1268
Phone (216) 938-1216

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address willis.barker@fellowshipcares.com Fellowship Home Healthcare LLC
Direct Messaging Address willis.barker@fellowshipcares.com

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1013643956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 313",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268",
            "telephone_number": "216-938-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 311",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181404",
            "telephone_number": "216-233-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "WILLIS",
        "name_prefix": "Mr.",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willis.barker@fellowshipcares.com",
            "affiliation": "Y",
            "endpointDescription": "willis.barker@fellowshipcares.com",
            "affiliationName": "Fellowship Home Healthcare LLC",
            "address_1": "2490 Lee Blvd Ste 311",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441181404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willis.barker@fellowshipcares.com",
            "affiliation": "N",
            "address_1": "2490 Lee Blvd Ste 311",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441181404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.