Active NPI
Housecalls of the Falls
- Gerontology Nurse Practitioner
- Lakewood, OH
National Provider Identifier
1073903282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA.17027-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marie Diana Grosh, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2226547 | Housecalls of the Falls | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Lakewood, OH
- NPI 1497145601
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.