Ashley Mitchell

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

4922 Suzette Ave. N.W.
Massillon, OH 44647

Phone

(330) 313-9577

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Womb of Legacy

  • In Home Supportive Care Agency
  • Massillon, OH
  • NPI 1013789395
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1386328367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 SUZETTE AVE. N.W.",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 SUZETTE AVE. N.W.",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44647",
            "telephone_number": "330-313-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Miller
• Angela Miller
• Timothy Miller, CDCA
• Timothy R Miller Jr., LPN
• Lake Minor, COTA/L
• Jiara M Mitchell
• Natalie M Mitzel, NP-C
• MK Kamel MD Inc
• Ian Christopher Modd
• Patricia Modd

• In Home Supportive Care Agency in Massillon, OH
• Providers in Massillon, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.