Amber Kaczmark

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

400558071106 Issued in OH

Practice address

3460 Ambert Ave
Youngstown, OH 44502-3018

Phone

(330) 986-0900

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1063217016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 AMBERT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445023018",
            "telephone_number": "330-986-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 AMBERT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445023018",
            "telephone_number": "330-986-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Ohio Ave",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "OH",
            "postal_code": "444203243",
            "country_code": "US",
            "telephone_number": "330-986-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMARK",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400558071106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam R Justice
• Danyell Justice, LSW
• Jyotindra P. Shah, M.D., Inc.
• Brenda Marie Kachelries
• Felcia Kachelries
• Ose Kadiri
• Puspa Raj Kafley
• Joseph Kahrig
• Daraspreet Singh Kainth, MD
• Pratheek Simon Kakkasseril, M.D.

• Home Health Aide in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.