Active NPI
Donzetta Darden
- Foster Care Agency
- Bedford HTS, OH
National Provider Identifier
1053020149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Practice address
- 5437 Millbrook Rd
Bedford HTS, OH 44146-1651 - Phone
- (216) 832-5530
- NPI assigned
- Nov 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Primary |
Addresses
Primary practice location
5437 Millbrook Rd
Bedford HTS, OH 44146-1651
Mailing address
5437 Millbrook Rd
Bedford HTS, OH 44146-1651
Phone (216) 832-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79214370 | Medicaid | OH |
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": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1053020149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 MILLBROOK RD",
"city": "BEDFORD HTS",
"state": "OH",
"postal_code": "441461651",
"telephone_number": "216-832-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 MILLBROOK RD",
"city": "BEDFORD HTS",
"state": "OH",
"postal_code": "441461651",
"telephone_number": "216-832-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEN",
"first_name": "DONZETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79214370",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.