Active NPI
Julie Hadden
- In Home Supportive Care Agency
- Cedarville, OH
National Provider Identifier
1164811477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3751 James Barber Rd
Cedarville, OH 45314-9710 - Phone
- (937) 581-0105
- NPI assigned
- Jan 10, 2015
- Last updated
- Oct 9, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | 2903997 | OH | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3751 James Barber Rd
Cedarville, OH 45314-9710
Mailing address
3751 James Barber Rd
Cedarville, OH 45314-9710
Phone (937) 581-0105
Other practice location 1
2803 Kemp Rd
Beavercreek, OH 45431-2640
Phone (937) 581-0105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3747P1801X | Medicaid | OH | |
| 0115279 | Medicaid | OH | |
| 253Z00000X | 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 |
|---|---|---|---|
| 2903997 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1164811477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 JAMES BARBER RD",
"city": "CEDARVILLE",
"state": "OH",
"postal_code": "453149710",
"telephone_number": "937-581-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 JAMES BARBER RD",
"city": "CEDARVILLE",
"state": "OH",
"postal_code": "453149710",
"telephone_number": "937-581-0105"
}
],
"practiceLocations": [
{
"address_1": "2803 Kemp Rd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454312640",
"country_code": "US",
"telephone_number": "937-581-0105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADDEN",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-10",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2903997",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3747P1801X",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0115279",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253Z00000X",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedarville, OH
- Jerry Evan Frasure, DMD
- Greene County Eye Care, Inc.
- Greene Memorial Hospital Inc (Kettering Health Primary Care, A Service of Kettering Health Greene Me)
- Greene Memorial Hospital Services, Inc (Cedarville Family Practice)
- Kurt Gruenberg, MS, AT, ATC
- Rebecca Hanna
- Happy to Be Home LLC
- Evan V. Hellwig, PHD, ATC, PT
- Theresa Marie Hines, LPN
- Hayley Howard
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.