Robert Louis Campbell III

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0443583 Issued in OH

Practice address

5650 W Central Ave Ste C5
Toledo, OH 43615-1510

Phone

(419) 407-5399

NPI assigned

Aug 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1235858143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 W CENTRAL AVE STE C5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151510",
            "telephone_number": "419-407-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W CENTRAL AVE STE C5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151510",
            "telephone_number": "419-407-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "0443583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-1119510",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aservantshearttoledo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office for Agency that works with individuals  with developmental diasbilities.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5650 W Central Ave Ste C5",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436151510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Campbell
• Leonna Campbell
• Melinda Sue Campbell, CNP
• Phyllis Annette Campbell
• Quiana La Shell Campbell
• Scott Campbell, LSW
• Shilah Campbell, BASW, LSW
• Sirena Campbell
• Stephanie Campbell, LPN
• Tonya Campbell, INDEPENDENT PROVIDER

• Home Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.