Active NPI
Joseline Menjivar
- Home Health Agency
- Parma, OH
National Provider Identifier
1114702313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1831533
- Practice address
- 5530 State Rd Ste 8C
Parma, OH 44134-2263 - Phone
- (216) 356-9063
- NPI assigned
- Aug 28, 2023
- Last updated
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1831533 | OH | Primary |
| Home Delivered Meals | 332U00000X | OH | ||
| Homemaker | 376J00000X | OH | ||
| Respite Care | 385H00000X | 1831533 | OH | |
| Driver | 172A00000X | 1831533 | OH | |
| In Home Supportive Care Agency | 253Z00000X | OH | ||
| Meals Provider | 174200000X | OH |
Addresses
Primary practice location
5530 State Rd Ste 8C
Parma, OH 44134-2263
Mailing address
5530 State Rd Ste 8C
Parma, OH 44134-2263
Phone (216) 356-9063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831533 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1831533 | OH | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Love Healthcare LLC | Meals | Current | Accepting new patients |
Locations
5530 State Rd
Ste 8C
Parma, OH 44134
Phone (216) 356-9063
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1114702313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 STATE RD STE 8C",
"city": "PARMA",
"state": "OH",
"postal_code": "441342263",
"telephone_number": "216-356-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 STATE RD STE 8C",
"city": "PARMA",
"state": "OH",
"postal_code": "441342263",
"telephone_number": "216-356-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENJIVAR",
"first_name": "JOSELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "1831533",
"primary": true
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "OH",
"license": "1831533",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "1831533",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831533",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.