Medsource Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDSOURCE HOME HEALTH CARE

Practice address

2114 Noble Rd
E Cleveland, OH 44112-1725

Phone

(216) 289-9112

Fax

(216) 289-9114

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry L Maynard

Title

President

Phone

(216) 289-9112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295921187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "560",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-289-9112",
            "fax_number": "216-731-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 NOBLE RD",
            "city": "E CLEVELAND",
            "state": "OH",
            "postal_code": "441121725",
            "telephone_number": "216-289-9112",
            "fax_number": "216-289-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-289-9112"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste D Brewer-Edwards, PA-C
• Lasonia Monique Doss Morgan, LPN
• Patricia Dyson, IP
• Ms Jades Closet by Janet Inc (Ms Jades Closet)
• Ietha L Phillips, LPN
• Lanise Lacole Priah
• Kathleen Diane Scott, MSN
• Serwah Medical Group, Inc

• Home Health Agency in E Cleveland, OH
• Providers in E Cleveland, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.