Active NPI
Matthew John Fullerton, STNA
- Home Health Agency
- Lancaster, OH
National Provider Identifier
1194600361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 401984010717
- Practice address
- 2445 Columbus-Lancaster Rd NW
Lot 475
Lancaster, OH 43130 - Phone
- (740) 277-6293
- NPI assigned
- Aug 7, 2025
- 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 | 401984010717 | OH | Primary |
Addresses
Primary practice location
2445 Columbus-Lancaster Rd NW
Lot 475
Lancaster, OH 43130
Mailing address
27137 Stuart Road
Rockbridge, OH 43149
Phone (740) 583-0902
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 |
|---|---|---|---|
| 401984010717 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1194600361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27137 STUART ROAD",
"city": "ROCKBRIDGE",
"state": "OH",
"postal_code": "43149",
"telephone_number": "740-583-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 COLUMBUS-LANCASTER RD NW",
"address_2": "LOT 475",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "740-277-6293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLERTON",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "401984010717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.