Individual provider Active NPI

Ryan Graise

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1194343020
Registry record updated Jul 7, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
SJ581082 Issued in OH
Practice address
267 Gordon Dr
Akron, OH 44302-1127
Phone
(330) 814-4698
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SJ581082 OH Primary

Addresses

Primary practice location

267 Gordon Dr
Akron, OH 44302-1127

Mailing address

267 Gordon Dr
Akron, OH 44302-1127
Phone (330) 814-4698

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 267gordondrive Direct

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SJ581082OHMDHome Health Agency

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1194343020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GORDON DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021127",
            "telephone_number": "330-814-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GORDON DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021127",
            "telephone_number": "330-814-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAISE",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "SJ581082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "267gordondrive",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "267 Gordon Dr",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443021127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.