Active NPI
Kalpana Shah
- In Home Supportive Care Agency
- Broadview Heights, OH
National Provider Identifier
1033724471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 4841 Westminster LN
Broadview Heights, OH 44147-2067 - Phone
- (440) 526-1088
- NPI assigned
- Sep 12, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | OH | ||
| Private Vehicle | 347C00000X | OH | ||
| Personal Care Attendant | 3747P1801X | OH | ||
| Homemaker | 376J00000X | OH | ||
| In Home Supportive Care Agency | 253Z00000X | OH | Primary |
Addresses
Primary practice location
4841 Westminster LN
Broadview Heights, OH 44147-2067
Mailing address
4841 Westminster LN
Broadview Heights, OH 44147-2067
Phone (440) 526-1088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC392380 | Other | OH | DRIVER LICENCE |
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": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1033724471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4841 WESTMINSTER LN",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472067",
"telephone_number": "440-526-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4841 WESTMINSTER LN",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472067",
"telephone_number": "440-526-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KALPANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-12",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENCE",
"identifier": "SC392380",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broadview Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.