Organization Active NPI

Shelby Home & Public Health, Inc.

  • Home Health Agency
  • Shelby, OH
National Provider Identifier
1114151891
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHELBY HOME & PUBLIC HEALTH, INC.
Practice address
142 N Gamble St
Suite B
Shelby, OH 44875-2114
Phone
(419) 342-6366
Fax
(419) 342-4108
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mrs. Dana J. Wallace
Title
Office Manager
Phone
(419) 342-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

142 N Gamble St
Suite B
Shelby, OH 44875-2114

Mailing address

142 N Gamble St
Suite B
Shelby, OH 44875-2114
Phone (419) 342-6366

Other identifiers 1

IdentifierTypeStateIssuer
0053338MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1114151891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 N GAMBLE ST",
            "address_2": "SUITE B",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448752114",
            "telephone_number": "419-342-6366",
            "fax_number": "419-342-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N GAMBLE ST",
            "address_2": "SUITE B",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448752114",
            "telephone_number": "419-342-6366",
            "fax_number": "419-342-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY HOME & PUBLIC HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-342-6366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.