NPIMap

Organization Active NPI

Waiver Provider

  • Home Health Agency
  • Ashland, OH
National Provider Identifier
1255515334
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PN.124691-IV Issued in OH
Legal business name
WAIVER PROVIDER
Practice address
1645 Harding Ave
Ashland, OH 44805-3555
Phone
(419) 606-5213
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Mrs. Christina Hope StandridgeNPI 1710122577
Title
LPN
Phone
(419) 606-5213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PN.124691-IV OH Primary

Addresses

Primary practice location

1645 Harding Ave
Ashland, OH 44805-3555

Mailing address

1645 Harding Ave
Ashland, OH 44805-3555
Phone (419) 606-5213

Other identifiers 1

IdentifierTypeStateIssuer
PN.124691-IVOtherOHLPN LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1255515334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 HARDING AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053555",
            "telephone_number": "419-606-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 HARDING AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053555",
            "telephone_number": "419-606-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIVER PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "419-606-5213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "PN.124691-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN  LICENSE",
            "identifier": "PN.124691-IV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

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

Verify at the official NPI Registry.