Ohio Home Care Program

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

PN 113668 Issued in OH

Legal business name

OHIO HOME CARE PROGRAM

Practice address

613 Jett St
West Portsmouth, OH 45663-6213

Phone

(740) 858-2828

NPI assigned

Nov 12, 2007

Last updated

Nov 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Elaine Wallrt, LPN

Title

LPN

Phone

(740) 858-2828

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Elaine Waller

  • Licensed Practical Nurse
  • West Portsmouth, OH
  • NPI 1184885022
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1093995664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 JETT ST",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636213",
            "telephone_number": "740-858-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 JETT ST",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636213",
            "telephone_number": "740-858-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HOME CARE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "WALLRT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "740-858-2828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "PN 113668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mowery
• Patty Ann Myers, CDCA, MA
• Tommy Irvin Neumann II, PHARM.D.
• Anne E. Nickerson, L.I.S.W.
• Angela Jo Occidental, FNP-C
• James R Osman, CDCA
• Tammy Penix
• Keri Piatt
• Misty Brooke Pierce
• Amy Renee Pollitt

• Preferred Provider Organization in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.