Individual provider Active NPI

Theresa Christina Eiermann, CERTIFIED HPC/HCBS

  • Homemaker
  • Garrettsville, OH
National Provider Identifier
1104838523
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
8232 Park Ave
Garrettsville, OH 44231-1224
Phone
(330) 527-5519
Fax
(330) 527-5519
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X OH
Adult Companion 372600000X
Homemaker 376J00000X Primary
Lodging Provider 177F00000X
Respite Care 385H00000X

Addresses

Primary practice location

8232 Park Ave
Garrettsville, OH 44231-1224

Mailing address

8232 Park Ave
Garrettsville, OH 44231-1224
Phone (330) 527-5519

Other identifiers 2

IdentifierTypeStateIssuer
2242906MedicaidOH
6700985MedicaidOH

Other names 1

  • Teri Eiermann Other name

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1104838523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8232 PARK AVE",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311224",
            "telephone_number": "330-527-5519",
            "fax_number": "330-527-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8232 PARK AVE",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311224",
            "telephone_number": "330-527-5519",
            "fax_number": "330-527-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIERMANN",
        "first_name": "THERESA",
        "middle_name": "CHRISTINA",
        "credential": "CERTIFIED HPC/HCBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2242906",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700985",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "EIERMANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garrettsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.