Organization Active NPI

Providence Home Health Care Inc

  • Home Health Agency
  • Highland HTS, OH
National Provider Identifier
1225149743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2443109 Issued in OH
Legal business name
PROVIDENCE HOME HEALTH CARE INC
Practice address
301 Alpha Park
Highland HTS, OH 44143-2237
Phone
(440) 442-1115
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tatyana Zelenkova
Title
Administrator
Phone
(440) 442-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2443109 OH Primary

Addresses

Primary practice location

301 Alpha Park
Highland HTS, OH 44143-2237

Mailing address

301 Alpha Park
Highland HTS, OH 44143-2237
Phone (440) 442-1115

Other identifiers 1

IdentifierTypeStateIssuer
2443109MedicaidOH

National Provider Directory

National Provider Directory

Locations

360 Alpha Park
Highland Hgts, OH 44143

301 Alpha Park
Highland Hts, OH 44143
Phone (440) 442-1115

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225149743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALPHA PARK",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441432237",
            "telephone_number": "440-442-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALPHA PARK",
            "city": "HIGHLAND HTS",
            "state": "OH",
            "postal_code": "441432237",
            "telephone_number": "440-442-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZELENKOVA",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-442-1115"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2443109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.