Active NPI
Denise Lynn Eckroate
- Home Health Agency
- Warren, OH
National Provider Identifier
1346842002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 544616
- Practice address
- 1380 Arbor Ave SE Apt 510
Warren, OH 44484-4448 - Phone
- (330) 646-1513
- NPI assigned
- Nov 9, 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 544616 | OH | Primary |
Addresses
Primary practice location
1380 Arbor Ave SE Apt 510
Warren, OH 44484-4448
Mailing address
1380 Arbor Ave SE Apt 510
Warren, OH 44484-4448
Phone (330) 646-1513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1K73-FE3-NY85 | Medicaid | OH |
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 |
|---|---|---|---|
| 544616 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1346842002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 ARBOR AVE SE APT 510",
"city": "WARREN",
"state": "OH",
"postal_code": "444844448",
"telephone_number": "330-646-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 ARBOR AVE SE APT 510",
"city": "WARREN",
"state": "OH",
"postal_code": "444844448",
"telephone_number": "330-646-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKROATE",
"first_name": "DENISE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "544616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1K73-FE3-NY85",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.