Active NPI
Humana at Home, Inc.
Doing business as SeniorBridge
- Home Health Agency
- Independence, OH
National Provider Identifier
1164973061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HUMANA AT HOME, INC.
- Doing business as
- SeniorBridge
- Practice address
- 4807 Rockside Rd
Suite 500
Independence, OH 44131 - Phone
- (440) 386-4660
- NPI assigned
- Oct 17, 2016
- Last updated
- May 24, 2022
- Organization subpart
- Yes
- Parent organization
- HUMANA INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Burns
- Title
- Director, Clinical Quality
- Phone
- (321) 258-7709
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
4807 Rockside Rd
Suite 500
Independence, OH 44131
Mailing address
845 3Rd Ave
7TH Floor
New York, NY 10022-6601
Phone (212) 994-6100
Other names 1
- SeniorBridge
National Provider Directory
National Provider Directory- Tax ID family
- Humana at Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
845 3rd Ave
Fl 7
New York, NY 10022
Phone (212) 994-6100
4807 Rockside Rd
Ste 500
Independence, OH 44131
Phone (440) 386-4660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1164973061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 3RD AVE",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226601",
"telephone_number": "212-994-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 ROCKSIDE RD",
"address_2": "SUITE 500",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "44131",
"telephone_number": "440-386-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMANA AT HOME, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUMANA INC.",
"enumeration_date": "2016-10-17",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "DIRECTOR, CLINICAL QUALITY",
"authorized_official_telephone_number": "321-258-7709"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeniorBridge",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SeniorBridge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.