Organization Active NPI

NC HHA Inc

  • Home Health Agency
  • Elyria, OH
National Provider Identifier
1396053146
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NC HHA INC
Doing business as
Intrepid USA Healthcare Services
Practice address
1170 East Broad Street
Suite 101
Elyria, OH 44035-6351
Phone
(440) 323-7300
Fax
(440) 324-3463
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. Wesley Perry
Title
Ceo
Phone
(214) 445-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1170 East Broad Street
Suite 101
Elyria, OH 44035-6351

Mailing address

4055 Valley View Lane
5TH Floor
Dallas, TX 75244-5074
Phone (214) 445-3750

Other identifiers 1

IdentifierTypeStateIssuer
0746581MedicaidOH

Other names 1

  • Intrepid USA Healthcare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1396053146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LANE",
            "address_2": "5TH FLOOR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445074",
            "telephone_number": "214-445-3750",
            "fax_number": "214-445-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 EAST BROAD STREET",
            "address_2": "SUITE 101",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356351",
            "telephone_number": "440-323-7300",
            "fax_number": "440-324-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC HHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-445-3750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0746581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.