Active NPI
Latina Mills
- Home Health Aide
- Bedford, OH
National Provider Identifier
1285331892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 602333940421
- Practice address
- 55 Meadowgate Blvd
Bedford, OH 44146-2209 - Phone
- (216) 510-6777
- Fax
- (216) 510-6777
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- 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 | 602333940421 | OH | Primary |
Addresses
Primary practice location
55 Meadowgate Blvd
Bedford, OH 44146-2209
Mailing address
55 Meadowgate Blvd
Bedford, OH 44146-2209
Phone (216) 510-6777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415856 | Other | OH | DODD |
| 03-8252 | Other | OH | LICENSE TO OPERATE A RESIDENTIAL FACILITY |
| 602333940421 | Other | OH | OHIO DEPARTMENT OF HEALTH STATE TESTED NURSE AIDE |
| 184945 | Other | OH | NRCMA |
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 |
|---|---|---|---|
| 602333940421 | OH | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Girls of Lla | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Bedford, OH
- NPI 1508563958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1285331892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MEADOWGATE BLVD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462209",
"telephone_number": "216-510-6777",
"fax_number": "216-510-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEADOWGATE BLVD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462209",
"telephone_number": "216-510-6777",
"fax_number": "216-510-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "LATINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "602333940421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD",
"identifier": "415856",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE TO OPERATE A RESIDENTIAL FACILITY",
"identifier": "03-8252",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT OF HEALTH STATE TESTED NURSE AIDE",
"identifier": "602333940421",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NRCMA",
"identifier": "184945",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.