Organization Active NPI

Polaris Home Health Services LLC

  • Home Health Agency
  • Cleveland Heights, OH
National Provider Identifier
1396251930
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POLARIS HOME HEALTH SERVICES LLC
Practice address
2940 Noble Rd Ste C
Cleveland Heights, OH 44121-2254
Phone
(216) 333-3337
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Arlene Sampson, BA, MS, QMHS, CM
Title
Owner
Phone
(216) 333-3337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2940 Noble Rd Ste C
Cleveland Heights, OH 44121-2254

Mailing address

2940 Noble Rd Apt 204
Cleveland Heights, OH 44121-2254
Phone (216) 333-3337

Other identifiers 1

IdentifierTypeStateIssuer
0264247MedicaidOH

National Provider Directory

National Provider Directory

Locations

2940 Noble Rd
Ste C
Cleveland Heights, OH 44121
Phone (216) 333-3337

2940 Noble Rd
Apt 204
Cleveland Heights, OH 44121

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1396251930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 NOBLE RD APT 204",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212254",
            "telephone_number": "216-333-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 NOBLE RD STE C",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212254",
            "telephone_number": "216-333-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-333-3337",
        "authorized_official_credential": "BA, MS, QMHS, CM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264247",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.