Individual provider Active NPI

De'Nay Anderson

  • Personal Care Attendant
  • Copley, OH
National Provider Identifier
1053970095
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
760 Berwick CT
Copley, OH 44321-1495
Phone
(330) 957-9226
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

760 Berwick CT
Copley, OH 44321-1495

Mailing address

760 Berwick CT
Copley, OH 44321-1495
Phone (330) 957-9226

Other practice location 1

3100 E 45th St Ste 314
Cleveland, OH 44127-1095
Phone (216) 441-9622

Other practice location 2

2090 18th St SW
Akron, OH 44314-2765
Phone (330) 957-9226

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Elevations Care Services LLC CurrentSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1053970095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BERWICK CT",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211495",
            "telephone_number": "330-957-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BERWICK CT",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211495",
            "telephone_number": "330-957-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 E 45th St Ste 314",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441271095",
            "country_code": "US",
            "telephone_number": "216-441-9622",
            "fax_number": "888-460-4717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 18th St SW",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443142765",
            "country_code": "US",
            "telephone_number": "330-957-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DE'NAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.