Janet M Black

Key facts

NPI

1316520554

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

18895 Preston Rd
Warrensville HTS, OH 44128-4412

Phone

(216) 544-8926

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2021.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1316520554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18895 PRESTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441284305",
            "telephone_number": "216-544-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18895 PRESTON RD",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "441284412",
            "telephone_number": "216-544-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JANET",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Warrensville HTS, OH · Home Health Aide in Ohio