Individual provider Active NPI

Juanita Williams, CSCM

  • In Home Supportive Care Agency
  • Hubbard, OH
National Provider Identifier
1366102832
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
151 Youngstown Hubbard Rd Apt 28
Hubbard, OH 44425-1931
Phone
(724) 928-9111
Fax
(724) 318-6054
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

151 Youngstown Hubbard Rd Apt 28
Hubbard, OH 44425-1931

Mailing address

6004 Youngstown Warren Rd # 1009
Niles, OH 44446-4603
Phone (724) 928-9111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jw@aglowhomecare.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marrauris Legacy LLC In Home Supportive Care Current Accepting new patients
Aglow Home Care LLC In Home Supportive Care CurrentSince Jan 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1366102832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 YOUNGSTOWN WARREN RD # 1009",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464603",
            "telephone_number": "724-928-9111",
            "fax_number": "724-318-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 YOUNGSTOWN HUBBARD RD APT 28",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251931",
            "telephone_number": "724-928-9111",
            "fax_number": "724-318-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JUANITA",
        "credential": "CSCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jw@aglowhomecare.com",
            "affiliation": "N",
            "address_1": "151 Youngstown Hubbard Rd Apt 28",
            "city": "Hubbard",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444251931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.