Organization Active NPI

Custom Staffing-Mansfield, Inc.

  • Home Health Agency
  • Mansfield, OH
National Provider Identifier
1255500369
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 22, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.