Organization Active NPI

Kaiser Foundation Health Plan of Ohio

Doing business as Kaiser Permanente Home Care Agency

  • Home Health Agency
  • Brooklyn Heights, OH
National Provider Identifier
1023032620
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF OHIO
Doing business as
Kaiser Permanente Home Care Agency
Practice address
5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832
Phone
(216) 749-8383
Fax
(216) 778-6040
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Thomas R Revis
Title
Vice President and Chief Financial
Phone
(216) 479-5136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832

Mailing address

5420 Lancaster Dr
Brooklyn Heights, OH 44131-1832
Phone (216) 749-8383

Other names 1

  • Kaiser Permanente Home Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1023032620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 LANCASTER DR",
            "city": "BROOKLYN HEIGHTS",
            "state": "OH",
            "postal_code": "441311832",
            "telephone_number": "216-749-8383",
            "fax_number": "216-778-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 LANCASTER DR",
            "city": "BROOKLYN HEIGHTS",
            "state": "OH",
            "postal_code": "441311832",
            "telephone_number": "216-749-8383",
            "fax_number": "216-778-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "REVIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CHIEF FINANCIAL",
        "authorized_official_telephone_number": "216-479-5136"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Permanente Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.