Organization Active NPI

Housecalls of the Falls

  • Gerontology Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1073903282
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
COA.17027-NP Issued in OH
Legal business name
HOUSECALLS OF THE FALLS
Practice address
15526 Hilliard Rd
Lakewood, OH 44107-3813
Phone
(440) 281-6657
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mrs. Marie Diana Grosh, NPNPI 1497145601
Title
Nurse Practitioner
Phone
(440) 281-6657

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
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X COA.17027-NP OH Primary

Addresses

Primary practice location

15526 Hilliard Rd
Lakewood, OH 44107-3813

Mailing address

PO Box 770362
Lakewood, OH 44107-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150302002224 OH Part B Supplier - Clinic/Group Practice 6305162702 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2226547Housecalls of the Falls15526 Hilliard Rd, Lakewood, OH 44107Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

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": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1073903282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770362",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441070022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15526 HILLIARD RD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073813",
            "telephone_number": "440-281-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALLS OF THE FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "GROSH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "440-281-6657",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.17027-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.