Active NPI
Shelby Home & Public Health, Inc.
- Home Health Agency
- Shelby, OH
National Provider Identifier
1114151891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053338 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Dublin, OH
- NPI 1780301861
-
- Chiropractor
- Shelby, OH
- NPI 1760521686
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.