Active NPI
Tiffany Moss
- Home Health Agency
- Canal Winchester, OH
National Provider Identifier
1114738077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 251E00000X
- Practice address
- 5561 Howth PL
Canal Winchester, OH 43110-7950 - Phone
- (614) 380-6853
- NPI assigned
- Jan 18, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 251E00000X | OH | Primary |
Addresses
Primary practice location
5561 Howth PL
Canal Winchester, OH 43110-7950
Mailing address
4029 Dublin Bay Dr
Canal Winchester, OH 43110-7955
Phone (614) 603-1107
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 |
|---|---|---|---|
| 251E00000X | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1114738077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 DUBLIN BAY DR",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107955",
"telephone_number": "614-603-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5561 HOWTH PL",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107950",
"telephone_number": "614-380-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-18",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "251E00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.