Organization Active NPI

Home Delivery Healthcare, L.L.C.

  • Home Health Agency
  • Lisbon, OH
National Provider Identifier
1083803670
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME DELIVERY HEALTHCARE, L.L.C.
Practice address
840 N Market St
Lisbon, OH 44432-1022
Phone
(330) 420-0325
Fax
(330) 420-9821
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mrs. Jeannette Mikouis, RN, L.N.H.A., RD/LD
Title
Cfo
Phone
(330) 420-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

840 N Market St
Lisbon, OH 44432-1022

Mailing address

840 N Market St
P.O. Box 487
Lisbon, OH 44432-1022
Phone (330) 420-0325

Other identifiers 2

IdentifierTypeStateIssuer
137567153OtherOH DEPT. OF AGING
2964770MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1083803670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N MARKET ST",
            "address_2": "P.O. BOX 487",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321022",
            "telephone_number": "330-420-0325",
            "fax_number": "330-420-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N MARKET ST",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321022",
            "telephone_number": "330-420-0325",
            "fax_number": "330-420-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DELIVERY HEALTHCARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MIKOUIS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-420-0325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, L.N.H.A., RD/LD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH DEPT. OF AGING",
            "identifier": "137567153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2964770",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.