Dana Perez

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

381 County Road 169
Pedro, OH 45659-8911

Phone

(740) 307-8156

NPI assigned

Apr 28, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• All Care Residential and Transport Services

  • Home Health Agency
  • Pedro, OH
  • NPI 1932777414
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1124600192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 COUNTY ROAD 169",
            "city": "PEDRO",
            "state": "OH",
            "postal_code": "456598911",
            "telephone_number": "740-307-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 COUNTY ROAD 169",
            "city": "PEDRO",
            "state": "OH",
            "postal_code": "456598911",
            "telephone_number": "740-307-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378240",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124600192",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ironton",
            "affiliation": "N",
            "endpointDescription": "Ironton",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ironton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ironton",
            "address_1": "305 Park Ave",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pedro",
            "affiliation": "N",
            "endpointDescription": "pedro",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "381 County Road 169",
            "city": "Pedro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456598911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Marie Orsak, RN
• Brittany Patterson, RN
• Mitchell Robert Patterson
• James Paul Pennington
• Madison Paige Penwell
• Sean David Phillips
• Rhonda Gail Pierce
• Arden Polanco, BSW
• Charles Douglas Prince, LPC, ALPS
• Kelsey Ramey

• In Home Supportive Care Agency in Pedro, OH
• Providers in Pedro, 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 Jun 9, 2021; 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.