Organization Active NPI

Jessie'S Place

  • Home Health Agency
  • Bedford, OH
National Provider Identifier
1063936672
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JESSIE'S PLACE
Practice address
472 Northfield Rd
Bedford, OH 44146-2203
Phone
(440) 252-7220
Fax
(440) 658-9516
NPI assigned
Jul 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Mrs. Jacqueline ForemanNPI 1538667928
Title
Ceo
Phone
(216) 355-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

472 Northfield Rd
Bedford, OH 44146-2203

Mailing address

6615 Cleveland Rd
Ravenna, OH 44266-1884

National Provider Directory

National Provider Directory
Tax ID family
Jessie'S Place2 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.

Locations

472 Northfield Rd
Bedford, OH 44146
Phone (216) 355-0288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1063936672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 CLEVELAND RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 NORTHFIELD RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462203",
            "telephone_number": "440-252-7220",
            "fax_number": "440-658-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-355-0288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.