Individual provider Active NPI

June Victoria Wrege, HHA

  • Home Health Aide
  • Medina, OH
National Provider Identifier
1114070216
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2433272 Issued in OH
Practice address
8240 Stone Rd
Medina, OH 44256-8979
Phone
(330) 722-4019
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2433272 OH Primary

Addresses

Primary practice location

8240 Stone Rd
Medina, OH 44256-8979

Mailing address

7782 Avon Lake Rd
Lodi, OH 44254-9747
Phone (330) 302-8136

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
2433272OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114070216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7782 AVON LAKE RD",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442549747",
            "telephone_number": "330-302-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 STONE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568979",
            "telephone_number": "330-722-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREGE",
        "first_name": "JUNE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2433272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.