Active NPI
Louis C Martin, CDCA
- Home Health Aide
- Garfield Heights, OH
National Provider Identifier
1164940540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 13802 S Parkway Dr
Garfield Heights, OH 44105-6842 - Phone
- (216) 507-8056
- NPI assigned
- Sep 6, 2017
- Last updated
- Mar 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 161202 | OH | |
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
13802 S Parkway Dr
Garfield Heights, OH 44105-6842
Mailing address
13802 South Parkway
Garfield, OH 44105
Phone (216) 507-8056
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 |
|---|---|---|---|
| 161202 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1164940540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13802 SOUTH PARKWAY",
"city": "GARFIELD",
"state": "OH",
"postal_code": "44105",
"telephone_number": "216-507-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13802 S PARKWAY DR",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441056842",
"telephone_number": "216-507-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LOUIS",
"middle_name": "C",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-06",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "161202",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.