Moicano Health Care Provider.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOICANO HEALTH CARE PROVIDER.

Practice address

230 Northland Blvd Ste 328
Springdale, OH 45246-3694

Phone

(513) 818-9594

Fax

(513) 818-9594

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Caleb N Lola I, MD

Title

Ceo

Phone

(513) 580-3109

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• moicano health care Other name

Tax ID family

Moicano Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moicano Healthcare Provider LLC

  • Home Health Agency
  • Springdale, OH
  • NPI 1275939811
  NPD tax ID

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1043689276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD STE 328",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463694",
            "telephone_number": "513-818-9594",
            "fax_number": "513-818-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTHLAND BLVD STE 328",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452463694",
            "telephone_number": "513-818-9594",
            "fax_number": "513-818-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOICANO HEALTH CARE PROVIDER.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "LOLA",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-580-3109",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103628",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "moicano health care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer McElrone, LCDC III
• Alyssa Lauren McQueen, PHARMD
• Donnaejah McRae, BSW
• Tara Menkhaus, PHARMD
• Dale Meyer
• Moicano Healthcare Provider LLC
• Mary Morrissey, RDN, LD, CDE
• Cameron D Mundon
• National Vision, Inc.
• Necco, LLC

• Home Health Agency in Springdale, OH
• Providers in Springdale, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.