NPIMap

Organization Active NPI

Jasmond McCoy

  • Home Health Agency
  • Warren, OH
National Provider Identifier
1215381397
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
TG441174 Issued in OH
Legal business name
JASMOND MCCOY
Practice address
1238 Willard Ave SE
Warren, OH 44484-4440
Phone
(330) 809-3562
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Jasmond Carie McCoy
Title
Independent Provider
Phone
(330) 809-3562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TG441174 OH Primary

Addresses

Primary practice location

1238 Willard Ave SE
Warren, OH 44484-4440

Mailing address

1238 Willard Ave SE
Warren, OH 44484-4440
Phone (330) 809-3562

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1215381397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 WILLARD AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844440",
            "telephone_number": "330-809-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 WILLARD AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844440",
            "telephone_number": "330-809-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMOND MCCOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JASMOND",
        "authorized_official_middle_name": "CARIE",
        "authorized_official_title_or_position": "INDEPENDENT PROVIDER",
        "authorized_official_telephone_number": "330-809-3562"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "TG441174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.