Organization Active NPI

Maple Leaf Home Health Care

  • Community Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1083742761
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
MAPLE LEAF HOME HEALTH CARE
Practice address
935 S James Rd
Columbus, OH 43227-1069
Phone
(614) 586-1553
Fax
(614) 586-1556
NPI assigned
Mar 2, 2007
Last updated
Jan 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mr. Joseph Anthony Jerkins, RPH
Title
Owner
Phone
(614) 586-1553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X Primary

Addresses

Primary practice location

935 S James Rd
Columbus, OH 43227-1069

Mailing address

935 S James Rd
Columbus, OH 43227-1069
Phone (614) 586-1553

Other identifiers 1

IdentifierTypeStateIssuer
2527251MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Maple Leaf Home Health Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1083742761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 S JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271069",
            "telephone_number": "614-586-1553",
            "fax_number": "614-586-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 S JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271069",
            "telephone_number": "614-586-1553",
            "fax_number": "614-586-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "JERKINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-586-1553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.