Organization Active NPI

Lynns Independent Home Care

  • Student in an Organized Health Care Education/Training Program
  • Leavittsburg, OH
National Provider Identifier
1316162860
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
400603450407 Issued in OH
Legal business name
LYNNS INDEPENDENT HOME CARE
Practice address
4887 Anderson Anthony Rd
Leavittsburg, OH 44430-9765
Phone
(330) 898-6507
Fax
(330) 898-1333
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Lynn Veronica Brown
Title
Home Health Aide
Phone
(330) 898-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X 400603450407 OH Primary

Addresses

Primary practice location

4887 Anderson Anthony Rd
Leavittsburg, OH 44430-9765

Mailing address

4887 Anderson Anthony Rd
Leavittsburg, OH 44430-9765
Phone (330) 898-6507

Other identifiers 1

IdentifierTypeStateIssuer
2239269MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1316162860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 ANDERSON ANTHONY RD",
            "city": "LEAVITTSBURG",
            "state": "OH",
            "postal_code": "444309765",
            "telephone_number": "330-898-6507",
            "fax_number": "330-898-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 ANDERSON ANTHONY RD",
            "city": "LEAVITTSBURG",
            "state": "OH",
            "postal_code": "444309765",
            "telephone_number": "330-898-6507",
            "fax_number": "330-898-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNS INDEPENDENT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "HOME HEALTH AIDE",
        "authorized_official_telephone_number": "330-898-6507"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "400603450407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2239269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavittsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.