Organization Active NPI

Lizzy One Home Care Agency LLC

  • Behavior Technician
  • Pickerington, OH
National Provider Identifier
1366134207
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
LIZZY ONE HOME CARE AGENCY LLC
Doing business as
lizzy one home care agency llc
Practice address
7651 Howell Park Dr
Pickerington, OH 43147-9514
Phone
(978) 860-6645
NPI assigned
May 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mr. Martin Konadu-Wiredu, PATIENT CARE TECH
Title
PCT
Phone
(978) 860-6645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

7651 Howell Park Dr
Pickerington, OH 43147-9514

Mailing address

7651 Howell Park Dr
Pickerington, OH 43147-9514
Phone (978) 860-6645

Other names 1

  • lizzy one home care agency llc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1366134207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 HOWELL PARK DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479514",
            "telephone_number": "978-860-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 HOWELL PARK DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479514",
            "telephone_number": "978-860-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZZY ONE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "KONADU-WIREDU",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PCT",
        "authorized_official_telephone_number": "978-860-6645",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PATIENT CARE TECH"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lizzy one home care agency llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.