Organization Active NPI

Braxton Home Healthcare

  • Home Health Registered Nurse
  • Mentor, OH
National Provider Identifier
1205599123
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
BRAXTON HOME HEALTHCARE
Doing business as
Braxton Home HealthCare
Practice address
7015 Center St
Mentor, OH 44060-4933
Phone
(440) 209-2790
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Andrea KasedaNPI 1831852607
Title
Ower
Phone
(440) 209-2790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

7015 Center St
Mentor, OH 44060-4933

Mailing address

7015 Center St
Mentor, OH 44060-4933
Phone (440) 209-2790

Other names 1

  • Braxton Home HealthCare Doing business as

National Provider Directory

National Provider Directory

Locations

7015 Center St
Mentor, OH 44060
Phone (440) 209-2790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1205599123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604933",
            "telephone_number": "440-209-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604933",
            "telephone_number": "440-209-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAXTON HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "KASEDA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "440-209-2790"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braxton Home HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.