Active NPI
Devin Long
- In Home Supportive Care Agency
- Willoughby, OH
National Provider Identifier
1275311136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 38405 North LN Apt E204
Willoughby, OH 44094-7421 - Phone
- (440) 494-1247
- NPI assigned
- Sep 20, 2023
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
38405 North LN Apt E204
Willoughby, OH 44094-7421
Mailing address
38405 North LN Apt E204
Willoughby, OH 44094-7421
Phone (440) 494-1247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9999999 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1275311136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38405 NORTH LN APT E204",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947421",
"telephone_number": "440-494-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38405 NORTH LN APT E204",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947421",
"telephone_number": "440-494-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.