Active NPI
Ac Homenursing Services
- Home Health Agency
- Warren, OH
National Provider Identifier
1235230665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AC HOMENURSING SERVICES
- Practice address
- 2921 Youngstown Rd SE
Warren, OH 44484-5260 - Phone
- (330) 393-4663
- NPI assigned
- Sep 26, 2006
- 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
- Mr. Bruce Peters
- Title
- President
- Phone
- (330) 393-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2921 Youngstown Rd SE
Warren, OH 44484-5260
Mailing address
2921 Youngstown Rd SE
Warren, OH 44484-5260
Phone (330) 393-4663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0933137 | Medicaid | OH | |
| 01533513 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
2921 Youngstown Rd SE
Warren, OH 44484
Phone (330) 393-4663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1235230665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 YOUNGSTOWN RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444845260",
"telephone_number": "330-393-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2921 YOUNGSTOWN RD SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444845260",
"telephone_number": "330-393-4663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AC HOMENURSING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-393-4663",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0933137",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01533513",
"state": "PA"
}
],
"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 Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.