Active NPI
Lynns Independent Home Care
- Student in an Organized Health Care Education/Training Program
- Leavittsburg, OH
National Provider Identifier
1316162860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 400603450407
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2239269 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.