Organization Active NPI

Individual Provider

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1295111466
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
375626480596 Issued in OH
Legal business name
INDIVIDUAL PROVIDER
Practice address
27601 Mills Ave
#B
Cleveland, OH 44132-6015
Phone
(216) 233-8396
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Christine ComptonNPI 1083090542
Title
State Tested Nurse Aide
Phone
(216) 233-8396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 375626480596 OH Primary
Respite Care 385H00000X 375626480596 OH

Addresses

Primary practice location

27601 Mills Ave
#B
Cleveland, OH 44132-6015

Mailing address

27601 Mills Ave
#B
Euclid, OH 44132-6015
Phone (216) 233-8396

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1295111466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27601 MILLS AVE",
            "address_2": "#B",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441326015",
            "telephone_number": "216-233-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27601 MILLS AVE",
            "address_2": "#B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441326015",
            "telephone_number": "216-233-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "STATE TESTED NURSE AIDE",
        "authorized_official_telephone_number": "216-233-8396",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "375626480596",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "OH",
            "license": "375626480596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.