Active NPI
Jennifer Rose Cochran
- Home Health Aide
- Chagrin Falls, OH
National Provider Identifier
1346576287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 7695 Pettibone Rd
Chagrin Falls, OH 44023 - Phone
- (440) 476-4032
- NPI assigned
- Oct 28, 2009
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
7695 Pettibone Rd
Chagrin Falls, OH 44023
Mailing address
5305 Mound Ave
Cleveland, OH 44105-1143
Phone (216) 341-4543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108055644099 | Medicaid | OH |
Other names 1
- Jennifer Rose Bolt
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1346576287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5305 MOUND AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441051143",
"telephone_number": "216-341-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7695 PETTIBONE RD",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "44023",
"telephone_number": "440-476-4032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108055644099",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BOLT",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chagrin Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.