Active NPI
Experienced Providers in Care LLC
- In Home Supportive Care Agency
- Delaware, OH
National Provider Identifier
1346640539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EXPERIENCED PROVIDERS IN CARE LLC
- Practice address
- 50 Main Rd.
Delaware, OH 43015 - Phone
- (740) 815-9095
- NPI assigned
- Aug 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leeann Myers Davenport
- Title
- Ceo
- Phone
- (740) 815-9095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
50 Main Rd.
Delaware, OH 43015
Mailing address
50 Main Rd.
Delaware, OH 43015
Phone (740) 815-9095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2106401 | Other | OH | DODD WAIVER |
| 0104094 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1346640539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MAIN RD.",
"city": "DELAWARE",
"state": "OH",
"postal_code": "43015",
"telephone_number": "740-815-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAIN RD.",
"city": "DELAWARE",
"state": "OH",
"postal_code": "43015",
"telephone_number": "740-815-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPERIENCED PROVIDERS IN CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "LEEANN",
"authorized_official_middle_name": "MYERS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "740-815-9095",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD WAIVER",
"identifier": "2106401",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104094",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.