Organization Active NPI

Georgiabolton

  • Home Health Aide
  • Toledo, OH
National Provider Identifier
1316346414
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GEORGIABOLTON
Practice address
202 Torrington Dr
Toledo, OH 43615-5431
Phone
(419) 531-8439
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Mrs. Georgia Bolton
Title
Independent Home Health Care
Phone
(419) 283-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

202 Torrington Dr
Toledo, OH 43615-5431

Mailing address

6126 Welsford CT
Maumee, OH 43537-1329

Other identifiers 1

IdentifierTypeStateIssuer
3101753MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1316346414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 WELSFORD CT",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TORRINGTON DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155431",
            "telephone_number": "419-531-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIABOLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "INDEPENDENT HOME HEALTH CARE",
        "authorized_official_telephone_number": "419-283-1850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101753",
            "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 Aug 14, 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.

Verify at the official NPI Registry.