Active NPI
Avraham Graves
- Home Health Agency
- Cincinnati, OH
National Provider Identifier
1093278574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1241 Beech Ave
Cincinnati, OH 45205-1460 - Phone
- (513) 400-4285
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1241 Beech Ave
Cincinnati, OH 45205-1460
Mailing address
1241 Beech Ave
Cincinnati, OH 45205-1460
Phone (513) 400-4285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239821 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1093278574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 BEECH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452051460",
"telephone_number": "513-400-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 BEECH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452051460",
"telephone_number": "513-400-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "AVRAHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239821",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.