Johnathan Bailey

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

63171 Institute Rd
Lore City, OH 43755-9754

Phone

(740) 255-1005

NPI assigned

Jan 4, 2023

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2023.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1114630100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63171 INSTITUTE RD",
            "city": "LORE CITY",
            "state": "OH",
            "postal_code": "437559754",
            "telephone_number": "740-255-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63171 INSTITUTE RD",
            "city": "LORE CITY",
            "state": "OH",
            "postal_code": "437559754",
            "telephone_number": "740-255-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JOHNATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398579",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Kay Allen, PTA
• Heather Buchtel, COTA/L
• Creating Hope
• East Guernsey Local School District
• Tasha Gebhart, MA, CCC/SLP
• Miranda J Grieves, RN

• All providers in Lore City, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.