Active NPI
Jae T Brunetti
- Home Health Aide
- Mayfield Heights, OH
National Provider Identifier
1164598397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 6318 Eastondale Ave
Mayfield Heights, OH 44124 - Phone
- (440) 720-1950
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 Aide | 374U00000X | Primary |
Addresses
Primary practice location
6318 Eastondale Ave
Mayfield Heights, OH 44124
Mailing address
1560 Commodore Rd
Lyndhurst, OH 44124
Phone (440) 720-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359308 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164598397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 COMMODORE RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-720-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6318 EASTONDALE AVE",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "44124",
"telephone_number": "440-720-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNETTI",
"first_name": "JAE",
"middle_name": "T",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2359308",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.