Active NPI
Custom Staffing-Mansfield, Inc.
- Home Health Agency
- Mansfield, OH
National Provider Identifier
1255500369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CUSTOM STAFFING-MANSFIELD, INC.
- Practice address
- 1115 Lexington Ave
Mansfield, OH 44907-2251 - Phone
- (419) 756-0030
- Fax
- (419) 756-8033
- NPI assigned
- Feb 22, 2008
- 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. D. Roche Simmons
- Title
- Vice President
- Phone
- (419) 221-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1115 Lexington Ave
Mansfield, OH 44907-2251
Mailing address
1115 Lexington Ave
Mansfield, OH 44907-2251
Phone (419) 756-0030
National Provider Directory
National Provider DirectoryLocations
1115 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1255500369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072251",
"telephone_number": "419-756-0030",
"fax_number": "419-756-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 LEXINGTON AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072251",
"telephone_number": "419-756-0030",
"fax_number": "419-756-8033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM STAFFING-MANSFIELD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "D.",
"authorized_official_middle_name": "ROCHE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "419-221-3838",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.