Active NPI
Visiting Nurse Association and Hospice of NE Ohio
- Home Health Agency
- Youngstown, OH
National Provider Identifier
1366615528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VISITING NURSE ASSOCIATION AND HOSPICE OF NE OHIO
- Practice address
- 3530 Belmont Ave
Suite 7
Youngstown, OH 44505-1400 - Phone
- (330) 884-2500
- Fax
- (330) 884-2526
- NPI assigned
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn M Dominic, RN, BSN
- Title
- Corporate Director
- Phone
- (330) 884-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary |
Addresses
Primary practice location
3530 Belmont Ave
Suite 7
Youngstown, OH 44505-1400
Mailing address
3530 Belmont Ave
Suite 7
Youngstown, OH 44505-1400
Phone (330) 884-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0686217 | Medicaid | OH |
Other names 1
- Forum Health at Home
National Provider Directory
National Provider Directory- Tax ID family
- Forum Health at Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Youngstown, OH
- NPI 1215910021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1366615528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 BELMONT AVE",
"address_2": "SUITE 7",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051400",
"telephone_number": "330-884-2500",
"fax_number": "330-884-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 BELMONT AVE",
"address_2": "SUITE 7",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051400",
"telephone_number": "330-884-2500",
"fax_number": "330-884-2526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSE ASSOCIATION AND HOSPICE OF NE OHIO",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "DOMINIC",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CORPORATE DIRECTOR",
"authorized_official_telephone_number": "330-884-2500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0686217",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forum Health at Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.