Active NPI
Quientessa Macon
- Home Health Aide
- North Olmsted, OH
National Provider Identifier
1386204121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 23838 Vincent Dr
North Olmsted, OH 44070-1053 - Phone
- (216) 333-0009
- NPI assigned
- Jun 14, 2019
- 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
23838 Vincent Dr
North Olmsted, OH 44070-1053
Mailing address
23838 Vincent Dr
North Olmsted, OH 44070-1053
Phone (216) 333-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0337478 | 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": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1386204121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23838 VINCENT DR",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440701053",
"telephone_number": "216-333-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23838 VINCENT DR",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440701053",
"telephone_number": "216-333-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACON",
"first_name": "QUIENTESSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2019-06-14",
"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": "0337478",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.