Ksenia V Miroshnichenko

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1421 Piper CT NW
Canton, OH 44703-1108

Phone

(330) 415-3245

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1114794849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 PIPER CT NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031108",
            "telephone_number": "330-415-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PIPER CT NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031108",
            "telephone_number": "330-415-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROSHNICHENKO",
        "first_name": "KSENIA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mioara Tudosie, MD, LLC
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• Naseem Mirhaidari, CT
• Shayda Mirhaidari, M.D.
• Martin Phillip Mirise, NURSE AIDE
• Mirza N. Ahmad, M.D., Inc.
• Edward E Missinne, MD
• Ashlen Mitchell, LPCC
• Brianna Jhane Mitchell
• Chelsea Mitchell

• In Home Supportive Care Agency in Canton, OH
• Providers in Canton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.