Individual provider Active NPI

Rhoda Marie Lynch

  • Nurse's Aide
  • Cleveland HTS, OH
National Provider Identifier
1104390772
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
400555951106 Issued in OH
Practice address
896 Elbon Rd
Cleveland HTS, OH 44121-1425
Phone
(216) 924-3151
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 400555951106 OH Primary

Addresses

Primary practice location

896 Elbon Rd
Cleveland HTS, OH 44121-1425

Mailing address

896 Elbon Rd
Cleveland HTS, OH 44121-1425
Phone (216) 924-3151

Other practice location 1

896 Elbon Rd
Cleveland Hts, OH 44121-1425
Phone (216) 924-3151

Other identifiers 1

IdentifierTypeStateIssuer
0310074MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
400555951106OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1104390772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 ELBON RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441211425",
            "telephone_number": "216-924-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 ELBON RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441211425",
            "telephone_number": "216-924-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 Elbon Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Hts",
            "state": "OH",
            "postal_code": "441211425",
            "country_code": "US",
            "telephone_number": "216-924-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "RHODA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400555951106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310074",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.