Active NPI
Tamala Porter
- Home Health Aide
- Toledo, OH
National Provider Identifier
1306242177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 75 San Rafael Ave
Toledo, OH 43607-2413 - Phone
- (419) 297-6059
- NPI assigned
- Nov 6, 2014
- 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 | Primary |
Addresses
Primary practice location
75 San Rafael Ave
Toledo, OH 43607-2413
Mailing address
75 San Rafael Ave
Toledo, OH 43607-2413
Phone (419) 297-6059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109405 | Other | OH | MEDICAID INDEPENDENT PROVIDER NUMBER |
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": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1306242177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SAN RAFAEL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436072413",
"telephone_number": "419-297-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SAN RAFAEL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436072413",
"telephone_number": "419-297-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "TAMALA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID INDEPENDENT PROVIDER NUMBER",
"identifier": "0109405",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.