Individual provider Active NPI

Brendon James Kohler

  • Home Health Aide
  • Saint Marys, OH
National Provider Identifier
1316763980
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
VB018653 Issued in OH
Practice address
1730 Celina Rd Lot 21
Saint Marys, OH 45885-1254
Phone
(419) 230-5880
NPI assigned
Nov 28, 2024
Last updated
Nov 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X VB018653 OH Primary

Addresses

Primary practice location

1730 Celina Rd Lot 21
Saint Marys, OH 45885-1254

Mailing address

1730 Celina Rd Lot 21
Saint Marys, OH 45885-1254
Phone (419) 230-5880

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phonenumber Direct

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

LicenseStateTypeSpecialty
VB018653OHMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1316763980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 CELINA RD LOT 21",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851254",
            "telephone_number": "419-230-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 CELINA RD LOT 21",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851254",
            "telephone_number": "419-230-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "BRENDON",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "VB018653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phonenumber",
            "affiliation": "N",
            "endpointDescription": "phonenumber",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "phone number",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1730 Celina Rd Lot 21",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458851254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.