Organization Active NPI

Humana at Home, Inc.

Doing business as SeniorBridge

  • Home Health Agency
  • Independence, OH
National Provider Identifier
1164973061
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMANA INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humana at Home Inc2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.