Active NPI
Cynthia Habuda
- In Home Supportive Care Agency
- Canfield, OH
National Provider Identifier
1316554108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 0211797
- Practice address
- 3894 Indian Run Dr Apt 8
Canfield, OH 44406-9033 - Phone
- (330) 610-4196
- NPI assigned
- Sep 26, 2020
- 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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 0211797 | OH | Primary |
Addresses
Primary practice location
3894 Indian Run Dr Apt 8
Canfield, OH 44406-9033
Mailing address
3894 Indian Run Dr Apt 8
Canfield, OH 44406-9033
Phone (330) 610-4196
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0211797 | Medicaid | OH | |
| 5005498 | Other | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0211797 | OH | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1316554108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3894 INDIAN RUN DR APT 8",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069033",
"telephone_number": "330-610-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3894 INDIAN RUN DR APT 8",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069033",
"telephone_number": "330-610-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABUDA",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-26",
"last_updated": "2020-09-26",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": "0211797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0211797",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES",
"identifier": "5005498",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.