Active NPI
Diane Marie Holdway, STNA
- Home Health Agency
- Eastlake, OH
National Provider Identifier
1356735633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 400116450502
- Practice address
- 34066 Sylvia Dr
Eastlake, OH 44095-2103 - Phone
- (440) 942-2589
- NPI assigned
- Mar 24, 2015
- 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 | 400116450502 | OH | Primary |
Addresses
Primary practice location
34066 Sylvia Dr
Eastlake, OH 44095-2103
Mailing address
34066 Sylvia Dr
Eastlake, OH 44095-2103
Phone (440) 942-2589
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 |
|---|---|---|---|
| 400116450502 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1356735633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34066 SYLVIA DR",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440952103",
"telephone_number": "440-942-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34066 SYLVIA DR",
"city": "EASTLAKE",
"state": "OH",
"postal_code": "440952103",
"telephone_number": "440-942-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDWAY",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "STNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "400116450502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.