Individual provider Active NPI

Melissa Sue Sauder

  • Home Health Aide
  • Troy, OH
National Provider Identifier
1033705462
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
5505104 Issued in OH
Practice address
1801 W Main St
Troy, OH 45373-2303
Phone
(937) 339-3694
Fax
(937) 339-4332
NPI assigned
Dec 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 5505104 OH Primary

Addresses

Primary practice location

1801 W Main St
Troy, OH 45373-2303

Mailing address

1801 W Main St
Troy, OH 45373-2346
Phone (937) 339-3694

Other identifiers 1

IdentifierTypeStateIssuer
5505104MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Troy Other
CONNECT URL Troy
CONNECT URL Troy Other

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

LicenseStateTypeSpecialty
5505104OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1033705462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732346",
            "telephone_number": "937-339-3694",
            "fax_number": "937-339-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732303",
            "telephone_number": "937-339-3694",
            "fax_number": "937-339-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUDER",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "5505104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5505104",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NAN",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "2733 Troy Sidney Rd",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453739796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "address_1": "1801 W Main St",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Troy",
            "affiliation": "N",
            "endpointDescription": "Medicare",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Medicare post cataract",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 W Main St",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.