Individual provider Active NPI

Tanaya R Mosshood

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1396347050
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1254 Dietz Ave
Akron, OH 44301-2271
Phone
(330) 612-8078
Fax
(330) 786-9137
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1254 Dietz Ave
Akron, OH 44301-2271

Mailing address

1254 Dietz Ave
Akron, OH 44301-2271
Phone (330) 612-8078

Other identifiers 1

IdentifierTypeStateIssuer
0100777MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Akron

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1396347050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 DIETZ AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443012271",
            "telephone_number": "330-612-8078",
            "fax_number": "330-786-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 DIETZ AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443012271",
            "telephone_number": "330-612-8078",
            "fax_number": "330-786-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSHOOD",
        "first_name": "TANAYA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100777",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Akron",
            "affiliation": "N",
            "address_1": "1254 Dietz Ave",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443012271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.