Active NPI
Jacob Edgardo Gutierrez
- Home Health Agency
- Millersburg, OH
National Provider Identifier
1174451751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 402204420819
- Practice address
- 1842 Township Road 80
Millersburg, OH 44654-9645 - Phone
- (330) 600-0887
- NPI assigned
- May 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 402204420819 | OH | Primary |
Addresses
Primary practice location
1842 Township Road 80
Millersburg, OH 44654-9645
Mailing address
1842 Township Road 80
Millersburg, OH 44654-9645
Phone (330) 600-0887
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 |
|---|---|---|---|
| 402204420819 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1174451751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 TOWNSHIP ROAD 80",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446549645",
"telephone_number": "330-600-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 TOWNSHIP ROAD 80",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446549645",
"telephone_number": "330-600-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "JACOB",
"middle_name": "EDGARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "402204420819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, OH
- Family Life Counseling & Psyciatric Services
- Jeremy Scott Flanders, D.C,
- Jenna Nichole Frakowski, D.O.
- Brianna L Frase
- Grace Family Practice LLC
- Samantha Grace Hall
- Winston G Hall, D.C.
- Jessica R Hart
- Health Professionals of Holmes County, Inc (Pomerene Medical Group)
- Health Professionals of Holmes County, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.