Active NPI
Victor M Rosario
- Home Health Aide
- Lakewood, OH
National Provider Identifier
1265842074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0092153
- Practice address
- 14567 Madison Ave Apt 103
Lakewood, OH 44107-4337 - Phone
- (216) 326-1219
- NPI assigned
- May 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0092153 | OH | Primary |
Addresses
Primary practice location
14567 Madison Ave Apt 103
Lakewood, OH 44107-4337
Mailing address
14567 Madison Ave Apt 103
Lakewood, OH 44107-4337
Phone (216) 326-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092153 | Other | OH | OHIO MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0092153 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1265842074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14567 MADISON AVE APT 103",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074337",
"telephone_number": "216-326-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14567 MADISON AVE APT 103",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074337",
"telephone_number": "216-326-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "VICTOR",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "0092153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "0092153",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.