Active NPI
Robert J Donna
- In Home Supportive Care Agency
- Macedonia, OH
National Provider Identifier
1225624265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ROBERT J DONNA
- Practice address
- 852 Highland Rd E Ste 4B
Macedonia, OH 44056-2150 - Phone
- (216) 970-6279
- Fax
- (440) 791-0808
- NPI assigned
- Dec 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwayne E Coggins
- Title
- Ceo
- Phone
- (216) 970-6279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
852 Highland Rd E Ste 4B
Macedonia, OH 44056-2150
Mailing address
852 Highland Rd E Ste 4B
Macedonia, OH 44056-2150
Phone (216) 970-6279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7718930 | Medicaid | OH |
Other names 1
- None
National Provider Directory
National Provider DirectoryLocations
852 Highland Rd E
Ste 4B
Macedonia, OH 44056
Phone (216) 970-6279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607904000000",
"number": "1225624265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 HIGHLAND RD E STE 4B",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562150",
"telephone_number": "216-970-6279",
"fax_number": "440-791-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 HIGHLAND RD E STE 4B",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440562150",
"telephone_number": "216-970-6279",
"fax_number": "440-791-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J DONNA",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A",
"authorized_official_last_name": "COGGINS",
"authorized_official_first_name": "DWAYNE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-970-6279"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7718930",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "None",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Macedonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.