Organization Active NPI

Mary Elizabeth Services, LLC

Doing business as Mary Elizabeth Health Services

  • Home Health Aide
  • North Randall, OH
National Provider Identifier
1104324193
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
MARY ELIZABETH SERVICES, LLC
Doing business as
Mary Elizabeth Health Services
Practice address
4574 Warrensville Center Rd
North Randall, OH 44128-4134
Phone
(216) 581-2278
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Nicole Mahdi
Title
Ceo
Phone
(216) 581-2278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

4574 Warrensville Center Rd
North Randall, OH 44128-4134

Mailing address

4574 Warrensville Center Rd
North Randall, OH 44128-4134
Phone (216) 581-2278

Other names 1

  • Mary Elizabeth Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

4574 Warrensville Center Rd
North Randall, OH 44128
Phone (216) 581-2278

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1104324193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 WARRENSVILLE CENTER RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284134",
            "telephone_number": "216-581-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 WARRENSVILLE CENTER RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284134",
            "telephone_number": "216-581-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-581-2278"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Elizabeth Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Randall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.