Active NPI
Emell Thomas
- Home Health Aide
- Cleveland, OH
National Provider Identifier
1356859771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 11412 Matilda Ave
Cleveland, OH 44105-2835 - Phone
- (216) 857-8989
- NPI assigned
- Jan 19, 2018
- 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 | OH | Primary |
Addresses
Primary practice location
11412 Matilda Ave
Cleveland, OH 44105-2835
Mailing address
11412 Matilda Ave
Cleveland, OH 44105-2835
Phone (216) 857-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214145 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1356859771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11412 MATILDA AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441052835",
"telephone_number": "216-857-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11412 MATILDA AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441052835",
"telephone_number": "216-857-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "EMELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0214145",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.