Jody Lynn Kirksey
Individual provider Active NPI Home Health Agency · Conneaut, OH
NPI 1194518522 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1194518522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 682 Maple Ave
Conneaut, OH 44030-2226 - Phone
- (440) 381-3679
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
682 Maple Ave
Conneaut, OH 44030-2226
Mailing address
682 Maple Ave
Conneaut, OH 44030-2226
Phone (440) 381-3679
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.