NPIMap

Organization Active NPI

Individual Home Health Provider

  • Respite Care
  • Urbana, OH
National Provider Identifier
1114218641
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
141729 Issued in OH
Legal business name
INDIVIDUAL HOME HEALTH PROVIDER
Practice address
1003 S High St
Urbana, OH 43078-2513
Phone
(937) 631-5908
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Mrs. Jessica Adams
Title
LPN
Phone
(937) 631-5908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 141729 OH Primary

Addresses

Primary practice location

1003 S High St
Urbana, OH 43078-2513

Mailing address

1003 S High St
Urbana, OH 43078-2513
Phone (937) 631-5908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1114218641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 S HIGH ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782513",
            "telephone_number": "937-631-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S HIGH ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782513",
            "telephone_number": "937-631-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL HOME HEALTH PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "937-631-5908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "141729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.