Active NPI
Maxine Mary Marrero
- Personal Care Attendant
- Huber Heights, OH
National Provider Identifier
1285343335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 6838 Hubbard Dr
Huber Heights, OH 45424-3562 - Phone
- (917) 331-2719
- NPI assigned
- Nov 17, 2022
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | Primary |
Addresses
Primary practice location
6838 Hubbard Dr
Huber Heights, OH 45424-3562
Mailing address
6838 Hubbard Dr
Huber Heights, OH 45424-3562
Phone (917) 331-2719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0448664 | 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": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1285343335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6838 HUBBARD DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243562",
"telephone_number": "917-331-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6838 HUBBARD DR",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243562",
"telephone_number": "917-331-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "MAXINE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0448664",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.