Active NPI
Jeanette M Amos
- Home Health Aide
- Louisville, OH
National Provider Identifier
1366600199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5411 Clay St
Louisville, OH 44641-9347 - Phone
- (330) 456-1565
- Fax
- (330) 456-1565
- NPI assigned
- May 29, 2008
- Last updated
- May 29, 2008
- 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 | Primary |
Addresses
Primary practice location
5411 Clay St
Louisville, OH 44641-9347
Mailing address
5411 Clay St
Louisville, OH 44641-9347
Phone (330) 456-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2483325 | 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": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1366600199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 CLAY ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446419347",
"telephone_number": "330-456-1565",
"fax_number": "330-456-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 CLAY ST",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446419347",
"telephone_number": "330-456-1565",
"fax_number": "330-456-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOS",
"first_name": "JEANETTE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2483325",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, OH
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- Altercare of Louisville Center for Rehabilitation & Nursing Care Inc
- Joseph R Andrejcik, D.C.
- Andrews Dental Laboratories Inc (Louisville Dental Clinic)
- Malorie Anile, RDN
- Samantha Reed Anna, MSN, RN
- Jennifer Apelt, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.