Active NPI
Charlene McGrew
- Home Health Aide
- Malta, OH
National Provider Identifier
1285776716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2719 Newlon Rd NW
Malta, OH 43758-9761 - Phone
- (740) 962-4869
- NPI assigned
- Feb 12, 2007
- Last updated
- Jul 9, 2007
- 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 | OH | Primary |
Addresses
Primary practice location
2719 Newlon Rd NW
Malta, OH 43758-9761
Mailing address
1760 Broadway St
Stockport, OH 43787-9113
Phone (740) 559-2717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5800682 | Other | OH | ODMRDD PROVIDER |
| 2684073 | 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": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285776716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 BROADWAY ST",
"city": "STOCKPORT",
"state": "OH",
"postal_code": "437879113",
"telephone_number": "740-559-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 NEWLON RD NW",
"city": "MALTA",
"state": "OH",
"postal_code": "437589761",
"telephone_number": "740-962-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREW",
"first_name": "CHARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ODMRDD PROVIDER",
"identifier": "5800682",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2684073",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.