Patriot Housecall, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PATRIOT HOUSECALL, INC

Doing business as

Independence Visiting Primary Care

Practice address

986 Tibbetts Wick Rd
Girard, OH 44420-1120

Phone

(330) 306-9651

Fax

(330) 395-0133

NPI assigned

Jul 16, 2015

Last updated

Aug 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Davis

Title

Owner

Phone

(330) 306-9651

Specialties & licenses 2

Addresses

Other names 1

• Independence Visiting Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Independence Infusion Services, Inc

  • Infusion Therapy Clinic/Center
  • Girard, OH
  • NPI 1992311658
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Marie Femia, CNS

  • Adult Health Clinical Nurse Specialist
  • Poland, OH
  • NPI 1851716583
  Medicare reassignment NPD
• Alma R Garcia-Smith, MD

  • Internal Medicine Physician
  • Youngstown, OH
  • NPI 1326004201
  Medicare reassignment NPD
• Donna Marie Latva, FNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1093222994
  Medicare reassignment NPD
• Casey Marie Yourex

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1932726395

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1245614536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-980-9009",
            "fax_number": "330-395-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201120",
            "telephone_number": "330-306-9651",
            "fax_number": "330-395-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT HOUSECALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-306-9651"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Visiting Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omni Manor, Inc.
• Gianna Pacella
• Nicholas Anthony Pappas, MD
• Patriot Homecare, Inc.
• Patriot Hospice, Inc
• Amity Lynn Patrone, MSN, APRN, PMHNP-BC
• Peter E Sforza Jr OD Inc
• Lisa Michelle Peterman, LPN
• Cheona Petty, LPC, NCC
• Leslie Phillips

• Family Nurse Practitioner in Girard, OH
• Providers in Girard, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.